Weinstein Juror Questionnaire
Weinstein Juror Questionnaire
HARVEY WEINSTEIN,
Defendant.
Indictment No.
2335/2018
PROSPECTIVE
JUROR
QUESTIONNAIRE
1
YOU HAVE TAKEN AN OATH TO ANSWEREACH QUESTION
TRUTHFULLY.
INSTRUCTIONS
If there is anything that you wish to discuss with the Court and the parties
outside the presence of the other jurors, please note that you wish to
discuss it privately.
PLEASE PRINT
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Description of Case
Juror Ouestionnaire
BACKGROLIND
l. Name
2. Gender
3. Date of Birth
4. Place of Birlh
)
9. If you have ever lived outside of Manhattan, where did you
live?
M/F
M/F
M/F
M/F
M/F
M/F
M/F
M/F
M/F
M/F
I
EDUCATION
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22.If employed full-time or part-time, what is your present
occupation, title, or profession?
29. Please list any jobs and occupations you previously held.
Include the place of employment or type of organization, your
position there, and the length of employment.
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30. If you are a homemaker or student, have you also previously
been employed?
32.Have you ever been fired from a job? Have you been involved
in a legal action against any employer?
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NON-WORK ACTIVITIES
35. Please list any groups or organizations you are a member of.
This includes church or religious organizations, school groups,
as well as social, fraternal, service, professional, business,
entedainment, media, sporls, union, political, or community
groups. Please include your position there, if any and the
length of membership.
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40. Did you have the opportunity to speak to the judge or the
parties afterjury service ended?
Charge
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47.Have you, a family member, or a close friend, ever worked for
any law enforcement agency?
50. If "YES,"
please list the organization, your relationship to that
person, the position they held, and the number of years of
their employment.
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51.Have you, a family member, or a close friend, ever been
charged with, accused of, or arrested for a crime?
CzuME VICTIM
55. Have you, a family member, or a close friend ever been the
victim of a crime?
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57. Have you, a family member or a close friend ever been the victim
ofphysical or sexual abuse, either as a child or adult?
59. Have you, a family member or a close friend ever been the
victim of domestic violence?
PUBLICITY
62. Will you be able to follow the Court's instruction to avoid all
media coverage and not look on the internet for this case for
any purpose?
L2
63. Have you seen, read, or heard about the defendant, this case,
and/or its proceedings in newspapers, the internet, on
television, on radio, or in a magazine?
64. Ifyou have seen, read, or heard anything about the case, does
that information affect your ability to be a fair and impartial
juror?
ABILITY TO SERVE
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67 . If "YES," please explain why.
68. Do you know of any reason why you cannot be a fair and
impartial juror to both sides?
70. Is there anything about the nature of this case that will affect
your ability to be a fair and impartial juror?
72. Is there anything else that you believe the Judge and the
parties should know about your qualifications to serve as a fair
and impartial juror in this case?
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ADDITIONAL SPACE FOR ANSWERS TO SPECIFIC QUESTIONS
(PLEASE INDICATE THE QUESTION TO WHICH EACH RESPONSE
no._,")
REFERS, e.g. "Re: Question
15
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