JUROR QUALIFICATION QUESTIONNAIRE LAKE COUNTY, OHIO, COMMON PLEAS COURT - GENERAL DIVISION JUDGE EUGENE A. LUCCI

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1 1 INSTRUCTIONS JUROR QUALIFICATION QUESTIONNAIRE LAKE COUNTY, OHIO, COMMON PLEAS COURT - GENERAL DIVISION JUDGE EUGENE A. LUCCI It is the policy of this state that every qualified citizen has an obligation to serve on petit juries when summoned by the courts of this state unless the citizen is excused as provided in Chapter of the Revised Code. Jury duty affords members of the public the opportunity to obtain insight into the workings of the justice system. Through direct participation, each citizen can observe and contribute to the administration of justice as prescribed under the United States and Ohio constitutions. Service as a juror should be a learning experience and, hopefully, a rewarding and gratifying experience. Acceptance of this duty will enable you to become involved in the judicial process under which we live. Below is a questionnaire that must be completed in its entirety. Please start it within five days of your receipt of the summons. The questionnaire should take about 30 minutes to complete. The purpose of this questionnaire is to expedite the examination of prospective jurors and shorten the amount of time needed for jury selection, and thus, avoid as much inconvenience to you as possible. Please be sure to answer all questions promptly. A completed questionnaire by all jurors will significantly shorten the jury selection process of a trial. You must complete the questionnaire within six days of starting it. Your answers will be saved (as long as you have not cleared your cache/browsing data on your device) and you may make changes, using the back button. Once you have started the questionnaire, if you put it down to come back later, you will be returned where you left off. Once you submit it, you cannot make any changes to the questionnaire. If you want to view the questions in advance, to help you compile any answers, you can view and/or download a print version at

2 2 The court must have this information entered electronically, and prefers that you complete the questionnaire on-line on your smartphone or computer. If you do not have access to a smartphone, or to a computer in your home, office, or public library, you may come to the court s office in the Lake County Court House, 47 North Park Place, Painesville, Ohio 44077, and use one of the court s computers. If none of those options are available, you may call the court at the telephone number on your summons, and request that a paper copy be mailed to you, and upon receipt, legibly complete it in ink and sign it, and deliver or mail it to the court, addressed to the judge, at 47 North Park Place, Painesville, Ohio The court will then be required to enter your answers manually in the electronic system. The responses to these questions may be subject to public disclosure. You have the right to request a private hearing on the record with counsel for the parties present regarding any question to be answered on this form in order for the court to determine whether you have a legitimate privacy interest to warrant non-disclosure of any answer. If you do not wish to answer any particular question, you may check the box marked, I prefer not to answer this question now, but wish to answer it in court on the record. Failure to complete this questionnaire will not relieve you of jury duty, but will result in you automatically being summoned for service and be required to answer the questions in open court, which likely will take much longer than 30 minutes per juror. Your answers to these questions are considered to be under oath or affirmation and must be truthful to the best of your knowledge, information, and belief. A false statement in this official proceeding is considered material, and may result in criminal charges of perjury and/or falsification. The court will rely on the truth of your answers in performing the court s official function to administer justice in a fair and impartial manner. QUESTIONS Your cooperation is greatly appreciated. 1. Enter the six-digit Sequence Number that appears at the top portion of your summons. 2. Do you understand that your answers to these questions are considered to be given under your oath or affirmation that they are true to the best of your knowledge, information, and belief, and that the court will rely on the truth of your answers in the court s official function to administer justice to all persons in a fair and impartial manner, and that any false statement in this official proceeding will be considered material and, thus, criminal perjury or falsification? 3. If the prospective juror received assistance from anyone in preparing or furnishing any answers to these questions, state that person s name and relationship to the prospective juror, and the reason for the assistance. - enter person's name

3 3 4. Relationship to prospective juror 5. Reason for the assistance 6. Prospective juror s full name 7. Prospective juror's maiden or other name(s) 8. Place of birth (city, state, and country) 9. Age on last birthday 10. If you are older than age 75 years, do you request that you be excused from jury service due to age?, I wish to be excused from jury service because I am older than 75 years of age., I will serve if needed and selected. o I am not older than 75 years of age. 11. Gender o Male o Female 12. Race/Ethnicity American Indian or Alaska Native Asian Black or African American Hispanic, Latino, or Spanish Middle Eastern or North African Native Hawaiian or Other Pacific Islander White

4 4 Some Other Race or Ethnicity I prefer not to answer this question now, but wish to answer it in court on the record. 13. Zip code of residence 14. City/Village/Township of residence 15. Street address of residence 16. How long have you resided at this address? 17. Do you currently live in Lake County, Ohio, as your primary place of residence?, I reside in the following county & state (give county, state, and date) 18. How long have you resided in Lake County, Ohio? o Less than one year o About one to five years o About five to ten years o About ten to twenty years o More than twenty years o Other 19. What other cities (and states) have you resided within the last 15 years? 20. Cellular or mobile telephone 21. May we contact you via text messaging to provide updates and NOTIFICATIONS on your jury duty (messaging rates may apply), including on weekends and holidays? By clicking "Yes," you consent to check your text messages for periodic updates and notifications, and represent

5 5 to the court that this is a reliable method of contacting you on short notice regarding your service address 23. May we contact you via to provide updates and NOTIFICATIONS on your jury duty, including on weekends and holidays? By clicking "Yes," you consent to check this mailbox for periodic updates and notifications, and represent to the court that this is a reliable method of contacting you on short notice regarding your service. 24. What is the most reliable way or ways that the court may communicate with you promptly and efficiently, and on short notice, regarding your jury service? Home telephone Work telephone Cellular telephone / CALL Cellular telephone / TEXT 25. Have you been convicted in any jurisdiction within the United States of a felony or indictable offense AND have not been restored your core civil rights after completion of any sentence, commutation, or pardon? (provide the details of date, court, and crime of conviction) o Unknown

6 6 26. Are you currently on state or federal probation, supervision, or community control sanctions, or state or federal post-release control, supervision, or parole? (provide details) o Unknown 27. Current marital status (check one) o Married (and for how long) o Widowed (and for how long) o Divorced (and for how long) o Separated (and for how long) o Never married 28. What is the name of your spouse, domestic partner, or significant other person in your life, and state how long you have been in that relationship? 29. Number of children/step-children o 0 o 1 o 2 o 3 o 4 o 5

7 7 o 6 or more 30. Name(s), age(s), and occupation(s) of children/step-children 31. If you have any pre-school child, can you arrange for a sitter? o Maybe t applicable, as I have no pre-school child 32. If you cannot or might not be able to arrange for a sitter, please explain. 33. Employer's name and/or place of employment or, if none, state unemployed, disabled, retired, or other reason for not being employed. 34. Current occupation or job title 35. If unemployed, disabled, or retired, what were your previous occupations? 36. Do you now supervise, or have you ever supervised, employees or personnel? If yes, state the approximate number or range of number of employees or personnel you supervised.

8 8 37. Are you currently a student? 38. If yes, where (school, college, or institution and location)? 39. If yes, in what year of schooling are you currently engaged? 40. If yes, what is your declared/intended major or other area of study? 41. What is your highest level (in years) of formal education? Years of schooling (high school = 12, BS/BA = 16, Professional/Doctorate = If you attended any schools or colleges after high school, including vocational schools, please name the schools and/or colleges you attended, your major areas of study, and your degrees or certifications earned. 43. If you are currently married or living as a domestic partner or with a significant other person, state your spouse s, partner's, or person's employer or place of employment. 44. If you are currently married or living as a domestic partner or with a significant other person, state your spouse s, partner's, or person's occupation. 45. If you are currently married or living as a domestic partner or with a significant other person, state that person's highest level of education and any degrees or certifications that person has earned.

9 9 46. Do you have a valid driver s license and driving privileges? 47. If no, explain. 48. Do you have transportation to and from court for jury service? o Maybe 49. Are you a member of any social, civic, fraternal, or recreational organizations or clubs? 50. If yes, please list. 51. Are you a member of any group or organization which is concerned with crime prevention or victim's rights?

10 If yes, please describe it. 53. Have you ever served in the armed forces? 54. Branch of service and rank at discharge U.S. Army U.S. Navy U.S. Air Force U.S. Marines National Guard or Reserves Non-U.S. military/other I prefer not to answer this question now, but wish to answer it in court on the record. 55. Discharge type o General o Honorable o Other than Honorable o Bad Conduct o Dishonorable 56. Date (or year) of discharge

11 Did you ever serve in combat or a war zone or in the military police? If yes, describe it. 58. Do you have any medical training or experience? 59. If yes, explain. 60. Have you or any member of your immediate family presented a malpractice or professional negligence claim against any professional?, and the type of professional and year of the claim is: 61. Do you have any legal training or experience? 62. If yes, explain. 63. Do you have any law enforcement or security training or experience?

12 If yes, explain. 65. What is your religious or spiritual tradition preference? ne o Atheism o Baha'i Faith o Buddhism o Catholicism o Christianity o Hinduism o Islam o Judaism o Paganism o Sikhism o Taoism o Wicca o Other 66. If you answered that you do have a religious or spiritual tradition preference, how frequently do you attend services or practice that religion or tradition?

13 Do you have any religious, moral, or philosophical views or beliefs that may affect your ability to serve as a juror? 68. If yes, explain. 69. Have you ever previously served as a juror? (state the number of times summoned for service in your life) 70. In what court(s) and the approximate year(s)? Lake County Common Pleas Court Painesville, Willoughby, or Mentor municipal courts Another common pleas court in Ohio Another municipal court in Ohio Grand Jury (state or federal) Federal Court (in any state or territory) Any state or local court outside of Ohio Unknown I prefer not to answer this question now, but wish to answer it in court on the record. 71. On what type(s) of case(s) have you served as a juror (include only those where a jury was seated and the trial commenced)?

14 14 Criminal (number of cases/trials and years) Civil (number of cases/trials and years) Grand Jury (number and years) Other/Multiple (describe) Unknown whether it was criminal or civil (approximate years) 72. Have you or a member of your immediate family ever been involved in a motor vehicle collision? 73. If yes, was a lawsuit filed or a claim presented? 74. Please explain. _ 75. Have you or a member of your immediate family ever been injured at work? 76. If yes, was a workers compensation claim filed?

15 15 t applicable 77. Are you or a member of your immediate family now involved, or in the past been involved, in any capacity in a lawsuit (such as a plaintiff, defendant, or witness)? 78. If yes, please explain. 79. Have you ever been represented by legal counsel? 80. If yes, please explain in very general terms (no specifics or details are necessary). 81. Have you ever testified in court or in any court-connected proceeding, such as a trial, hearing, or deposition? 82. If yes, please explain where, when, and what for.

16 Do you have a family member or close friend who works in the courthouse, prosecutor's office, public defender's office, victim's assistance office, or crime lab? If yes, for each person, state the relationship to you and that person's position. 84. Do you have any difficulty hearing or seeing? 85. If yes, please explain. 86. Do you require medication/meals/snacks at specific times of the day? 87. Do you have any difficulty speaking, reading, or understanding the written or spoken English language? 88. If yes, please explain.

17 Are you physically able to serve as a juror? 90. If no, please explain. 91. Do you have any family members or close friends who are mental health professionals, such as a psychiatrist, psychologist, social worker, counselor, etc.? 92. If yes, who, their relationship to you, and what areas of mental health care does this person practice. _ 93. Do you have any family members or close friends who are medical professionals? 94. If yes, who, their relationship to you, and what area(s) of medicine does this person practice? 95. Do you have any family members or close friends who are attorneys?

18 If yes, who, their relationship with you, and what area(s) of law does this person practice? 97. Do you have any family members or close friends who are in law enforcement or security? 98. If yes, who, their relationship with you, and where are they employed? 99. What are your general feelings about police officers? 100. Do you tend to believe law enforcement officers more than other witnesses simply because they are in law enforcement? If yes, explain Are you now, or have you ever been, a member of a union?, and state the name(s) of the union(s) o I do not know. o I prefer not to answer this question on-line, but wish to answer it in court on the record Do you have an extremely unfavorable opinion of our justice system?

19 If yes, please explain What have you learned from any prior involvement with, the media, the entertainment industry, or any other source about, courts, crime, and the criminal justice system? 105. Do you have any very strong feelings (negative or positive) about law enforcement officers? If yes, please explain Do you have any very strong feelings (negative or positive) about attorneys? If yes, please explain When you think of prosecutors, what thoughts and feelings come to mind? 108. When you think of criminal defense attorneys who represent persons accused of serious crimes, such as murder, what thoughts and feelings come to mind? 109. Have you or a close family member ever been accused or convicted of a crime, not including any minor traffic offenses?

20 If yes, please explain, including whether it was a felony, the type of crime involved, the court, and the year, and whether it resulted in a conviction Have you or a close family member ever been the victim of a serious crime (for example, homicide, assault, kidnapping, robbery, burglary, sex offense, arson, or vehicle theft? 112. If yes, what type(s) of crime, providing the county/state, year, and a brief explanation. Homicide and/or Assault Kidnapping and/or Extortion Sex Offense Arson, Vandalism and/or Terrorism Robbery Burglary Theft and/or Fraud Other serious crime 113. What do you think are the major causes of crime in the United States today? 114. What concerns you more: mistakenly convicting an innocent person or mistakenly finding a guilty person "not guilty"? Explain why. o Neither

21 21 o Both o Mistakenly convicting the innocent o Mistakenly freeing the guilty o Other 115. Are you now, or have you ever been, licensed to carry a concealed handgun? 116. Do you own a firearm? 117. If yes, what type (handgun, rifle, or shotgun) and for what general or primary purpose do you keep it? _ 118. Do you drink alcoholic beverages? 119. Do you hold any religious or moral convictions about alcohol?

22 If yes, explain how often and how much? 121. Do you hold any religious or moral convictions about usage of drugs that are deemed illegal by the U.S. government? 122. If yes, explain Are you, a member of your immediate family, or a close friend chemical or drug dependent or in the past been chemical or drug dependent? 124. If yes, who and briefly explain Have you or a member of your immediate family ever been convicted of a serious traffic offense, for example, OVI/DUI, leaving the scene of an accident, driving under suspension, fleeing & eluding, or vehicular homicide? 126. If yes, explain Do you know, or have you had experience with, someone who has a mental health issue? (briefly describe it)

23 23 o Unknown 128. Have you, or anyone close to you, ever been mentally, physically, or emotionally abused as an adult or child? If yes, please describe the person by relationship to you, explain the situation to the best of your ability, and the impact you felt the abuse has on the abused person Have you ever received a traffic citation? 130. If yes, approximately how many citations for moving violations in the past ten years. o 0 o 1 o 2 o 3 o 4 o 5 o 6 or more

24 The law does not require defendants in criminal cases to testify, nor does the law impose on defendants in criminal cases the duty to call witnesses or present evidence. No presumption of guilt may be raised, and no inference of any kind may be drawn, from the fact that a defendant does not testify, call witnesses, or present evidence. If a defendant does testify, however, his or her testimony must be judged in the same way as the other witnesses, meaning using the same tools and tests of truthfulness one uses in everyday life. Please state your reaction to the following statement: "Even though the law says a defendant has the right to remain silent, an innocent person accused of a serious crime, such as murder, would probably testify." o Strongly agree o Agree o Somewhat agree o Neither agree nor disagree o Somewhat disagree o Disagree o Strongly disagree o Other 132. Which of the following statements best represents your feelings about the death penalty (choose only one): o I believe that the death penalty should be imposed in all capital murder cases. o I believe that the death penalty is appropriate in some capital murder cases and I could return a verdict resulting in death in a proper case. o Although I do not believe that the death penalty should ever be imposed, as long as the law provides for it, I could assess it under the proper set of circumstances. o I believe that the death penalty is appropriate in some capital murder cases, but I could never return a verdict which assessed the death penalty. o I could never, under any circumstances, return a verdict which assessed the death penalty.

25 On a scale of 1 to 10, with one being the most liberal and 10 being the most conservative, where on the scale generally do you consider yourself politically (circle the number)? Where do you obtain, or what is your preferred source of, most of the relevant information or news about current events (check all that apply)? Local newspaper Regional/National newspaper Radio (FM/AM) SiriusXM/Satellite radio Internet/Web Television/Cable I have no preferred source of information. Other Social Media I prefer not to answer this question now, but wish to answer it in court on the record Specifically, on what news or media outlets or sites do you rely to obtain the most current, accurate information about transpiring or on-going events? 136. What are three of your favorite television programs or movies? 137. Do you claim any exemption from jury service for any reason other than physical?

26 Please explain Do you have any pressing business or personal matter(s) that might interfere with the time or concentration required to serve as a juror? If yes, please describe it or the matters Is there any reason you cannot serve as a juror? 141. Please explain Comments 143. Sign your name and attest that your answers to the foregoing questions are true. Date: Juror signature Continued answers here: