Jury Service Exit Questionnaire

Introduction

You have been selected to participate in a survey regarding your recent experience as a juror for the 19th Judicial Circuit Court in Lake County, Illinois.

Think about your week of jury service, please respond to the following questions. Your answers to these questions will help us improve the services that we provide to jurors in the future.

All responses are voluntary and will be kept confidential.

Thank you again for your service as a juror!

Question Title

* 1. During what week did you report for Jury Service?

Date of Service

Date

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* 2. How many days did you report to the courthouse?

One

Two

Three

Four

Five or More

Question Title

* 3. Did you lose income as a result of service?

Yes

Question Title

* 4. If you did lose income as a result of Jury Service, approximately how much did you lose?

Enter a numerical amount only.

Question Title

* 5. Have you ever served on jury duty before?

Yes

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