February 5th and 6th Opinion Research Study - Louisville Opinion Research Study Please read all questions carefully and answer honestly. All answers will remain anonymous. OK Question Title * 1. In order to participate in this survey you must be able to attend both days. Please check both boxes if you understand. Tuesday, February 5th Wednesday, February 6th OK Question Title * 2. Full Name OK Question Title * 3. Age OK Question Title * 4. Gender Male Female OK Question Title * 5. Race OK Question Title * 6. Occupation OK Question Title * 7. Phone Number OK Question Title * 8. Email OK Question Title * 9. Have you ever participated in an opinion research study/ focus group/ mock trial discussion? If yes, What was the topic(s) of that discussion and the date of the event? OK Question Title * 10. Are you currently serving on a jury, or have you been notified of future jury service? Yes No OK Question Title * 11. Have you ever served on a jury? Yes No OK Question Title * 12. If yes, what was the case name and approximate date? Was it Criminal or civil? OK Question Title * 13. Was the verdict for the plaintiff or defense: If plaintiff, were any damages awarded? OK Question Title * 14. Have you ever been convicted of a felony? Yes No OK Question Title * 15. Do you read, write, and understand English? Yes No OK Question Title * 16. Are you a citizen of the United States? Yes No OK Question Title * 17. Can you actively participate in a 6-8 hour session involving listening, writing, and group discussion? Yes No OK Question Title * 18. Are you or your immediate family currently involved in a lawsuit? Yes No OK Question Title * 19. If yes please explain: OK Question Title * 20. Are you a registered voter? Yes No OK Question Title * 21. If yes, what county and state are you registered in? County State OK Question Title * 22. Do you consider yourself a Democrat, Republican, or other? Democrat Republican Other OK Question Title * 23. What is your Current employment status? Status: Position: Years with the company: OK Question Title * 24. Please list job history for the last 10 years. Please list the COMPANY, POSITION, AND NUMBER OF YEARS YOU WERE THERE. OK Question Title * 25. Have you or any member of your immediate family ever been involved in a lawsuit? Yes No If yes, who was it? OK Question Title * 26. If so, what type of lawsuit and is the lawsuit finished? OK Question Title * 27. Do you have children? Yes No OK Question Title * 28. If yes, What are their ages? Please check all that apply. less than 5 5-10 11-16 17-20 21+ OK Question Title * 29. What is your level of education? Less than High School GED High School Graduate Some College/trade school/ Associates degree College Graduate Post graduate Degree (Masters, Ph.D) OK Question Title * 30. If a college graduate what is your degree (Course of study): OK Question Title * 31. Do you or any member of your family now, or have you ever, or do you know anyone who worked in: If the answer is yes to any of these questions, we need the name, relations and details of each. Insurance Company Legal System (Paralegal/Attorney, Law Firm, Courtroom, Judge, Bar Assoc) Journalism (Newspaper, TV, Radio, Magazine, Public Relations) Public Service Agency, Police/Fire/EMT Manufacturing Industry, Construction Industry Agriculture Seed and Supply Distributor Heavy Equipment Distributor Medical Supply Distributor Automotive Industry Liquor Industry Farming Public Relations OK DONE