The purpose of this questionnaire is to help the court and to help you by shortening the jury selection process. By asking these questions now, and getting your best answer, we can make things go much more quickly on the day when court begins. It is important that you fill this out, and answer the questions yourself without the help of anyone else. The questions are to gather information, and there are no right or wrong answers. You should not discuss this questionnaire or your responses with anyone and you should answer the questions in one sitting. Please answer them all completely and accurately. Remember that you are under oath to tell the truth and the questions must be answered by you under penalty of perjury. If you need more room, please write at the bottom or sides of the pages or on additional sheets at the end of the questionnaire. Once you have finished answering the questions, please return this questionnaire in the envelope provided. We intend to keep your name and address confidential, so do not put your name or return address on the outside of the envelope. Again please be sure to answer all the questions completely. Thank you for your cooperation.
1. Name
Date and Place of Birth:
2. Current Address:
3. If you have ever lived outside of Union County, where have you lived?
4. What are your parents' names?
Where do they live and what are their occupations? (If deceased, please give residence and occupations during their lives.)
5. What is your race?
6. What is your military experience?
7. Please tell us about your education:
What was the last year of school that you completed?
What was your major area of study?
8. Please names all of the schools (grade school, high school, college, technical school, etc.) that you have attended.
Are you currently attending school?
If yes, where, and what are you studying?
9. If you are currently working, where do your work?
What do you do there?
How long have you worked at this job?
10. Do you now, or have you ever worked supervising other people?
11. Please tell us about all prior jobs that you have had.
12. Have you, a family member or a close friend ever worked for Conso Products Co.? If so, please explain.
Have you, a family member or a close friend ever applied to work for Conso Products? If so, please explain.
Are you affected financially by Conso Products Co.? If so, please explain.
13. What is your marital status?
If you are married:
Where does your husband/wife work?
What does he/she do there?
How long has he/she worked there?
What other jobs has he/she held in the past?
What is your husband/wife's level of education, and what was his/her area of major study?
14. Please give the same information from the previous question about your former husband(s) or wife (ves):
15. Do you have children?
If so, what are their names, ages, and where do they go to school or work?
16. Are any of your children deceased? If so, what was the cause of death?
When did the death occur?
17. Do you have any grandchildren? If so, what are there names, ages, where do they go to school or work?
How often do you see them?
18. Have you ever worked teaching or caring for children other than your own?
19. Please list any groups or organizations of which you are a member. This includes church/religious organizations, school groups, social, fraternal, service, professional, business, sporting, union, political or community groups.
20. In addition, what groups or organizations have you volunteered time or donated money to?
21. Please tell us about your hobbies, interests, or spare time activities or, what would you like to do in your spare time, if you had any?
22. Please tell us about your jury experience.
Have you ever been called to jury duty?
Were you chosen to serve?
If yes, what was the case(s) about?
Where you the foreman or forewoman?
How would you describe that experience?
Have you ever served on a grand jury?
23. Have you ever been a witness in a case, or received a subpoena. If yes, please explain the situation.
24. Have you ever consulted a lawyer? Would that experience affect your ability to be fair and impartial in this case?
25. Have you, a member of your immediate family or close personal friend been the victim of a crime? Please explain.
26. Have you ever given a statement to or have you been questioned by the police? (This may be regarding an automobile accident, a crime, a disturbance, for any reason at all)
If so, please explain.
27.To your knowledge, have you ever been investigated?
28. Have you been accused of a crime? If so, please explain.
29. Have a member of your immediate family or a close personal friend been charged with a crime? If so, please explain.
30. Have you ever had an experience with a law enforcement officer (police, etc.) that is so good or positive that it stands out in your mind?
31. Have you ever had an experience with law enforcement that is so bad or negative that it stands out in your mind?
32. Do you have a family member or personal friend that is employed in law enforcement (this may mean people who are officers, secretaries, investigators, in any way at all) anywhere in the United States?
33. What about as a corrections officers in the prison system or at a jail?
34. How about in any agency which prosecutes criminal cases (such as a solicitors office, the IRS, the state attorney general, or US attorney?
35. Have you ever been employed by a law enforcement agency?
36. Have you ever applied for employment by a law enforcement agency?
37. Have you, a member of your family or personal friend ever worked for a criminal defense lawyer or someone engaged in the practice of criminal defense?
38. Do you read the newspaper? If so, which one(s)?
How often?
39. Do you watch TV News? Which stations and programs?
40. What else do you like to watch on TV?
41. From what other sources do you get your news?
42. Do you listen to "talk radio?" Which programs?
43. Do you like to read books? If yes, what kind?
44. What is the last book that you remember reading?
45. Do you like to go to the movies?
If yes, name some movies that you have enjoyed.
What is your favorite movie?
What is the last movie that you saw?
46. Have you ever witnessed an act of serious violence or abuse? Please explain.
47. Have you ever personally known people who were involved in a situation in which a child was the victim of a crime or abuse (this could mean that you know the child, the parents, a police officer, social worker, lawyer-anyone at all)?
48. Have you ever personally known people whose child was physically or sexually abused by a member of his or her own family?
49. Have you ever personally known anyone who was a victim of childhood abuse, sexual or otherwise?
50. Have you, or anyone you know ever attempted suicide? If yes, please explain.
51. Did you know anyone who has committed suicide? If yes, please explain.
52. Have you or anyone you know:
--ever faked a suicide attempt?
--falsely claimed a suicide attempt?
--made a suicidal gesture-that is appeared to be attempting suicide-but were never in danger of dying?
If so, please explain.
53. Have you or anyone you know ever seen a therapist or counselor for emotional or psychological difficulties? If so, please explain.
54. Have you or anyone you know ever been under a doctor's care or hospitalized for emotional or psychological difficulties? Please explain.
55. Have you ever been divorced, or has you life been affected by divorce (this may be a divorce of parents
family members, friends, etc.)?
56. There may be some testimony about extra-marital affairs or infidelity. Do you have any strong personal, religious or other beliefs about sexual activities between unmarried people such that those feelings would affect your ability to sit as a juror in this case? If yes, please explain.
57. Did you know or know of anyone who has been the victim of an unlawful killing (homicide)?
58. Do you know anyone who has lost a loved one to homicide?
59. Do you know anyone, or know of anyone, who has drowned?
60. Have you ever gotten into trouble while in the water, and feared for your safety, or feared that you may drown?
61. Have you ever been present when someone got in a dangerous situation in the water?
62. Have you ever worked a s a lifeguard?
63. Did you participate in the search for the children or offer your support in any way? If yes, what did you do?
64. Did anyone close to you participate in the search or offer support in any way? If yes, who and what did those people do?
65. What activities, if any have you participated in regarding the 2 children?
66. Have you formed an opinion in this case such that it would affect your ability to serve as a juror?
If you were chosen as a juror in State v. Susan Smith,
--do you feel that community opinion and peer pressure would have an effect on you ability to be impartial?
--do you feel that the fact you will have to return to work and live in the community after rendering your decision will have an effect on your ability to be impartial?
--do you feel that the extensive media presence in this community will have an effect on your ability to be impartial?
--do you feel that the high publicity surrounding this case will have an effect on your ability to be impartial?
--do you feel that the fact that both the defendant's and victim's family, relatives and friends live and work in this community will have an effect on your ability to be impartial?
67. Were you raised in a church or religious belief? If yes, which one(s)?
68. How often do you attend services?
69. If there anything about your health, hearing or eyesight that may affect your ability to serve as a juror? If yes, please explain.
70. Is there any reason whatsoever that you should not serve on this jury or would be unable to do so? If yes, please explain.
71. If there is anything important about yourself that we have not asked please include it here.
DECLARATION
I declare under penalty of perjury that all of my answers to the questions contained on this questionnaire and the attached explanation sheets are true and correct to the best of my knowledge. Signed in Union, South Carolina this ___day of ___, 1995.
_____________________
(Signature)
_____________________
(Print Name Here)
EXPLANATION SHEET
If you feel that you were unable to sufficiently answer any questions in the spaces provided, please use this sheet to provide that information. Thank you very much for your cooperation.
