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* 1. What is your name?

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* 2. Have you ever participated in a jury research project?

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* 3. In what county do you reside?

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* 4. Are you a registered voter?

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* 5. Do you have a valid Georgia driver's license?

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* 6. Are you a U.S. Citizen?

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* 7. What is the highest level of education that you have completed?

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* 8. What is your age?

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* 9. What ethnic group do you belong to?

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* 10. What is your gender?

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* 11. Where do you work?

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* 12. What is your occupation?

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* 13. What is your employment status?

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* 14. What is your political affiliation?

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* 15. What is your marital status?

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* 16. What category fits your household income?

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* 17. Please provide your city and zip code.

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* 18. Please provide the best number to reach you.

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* 19. Please provide your email address.

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* 20. Do you agree to be videotaped?

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* 21. Have you ever been convicted of a crime punishable by imprisonment?

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* 22. Are you willing to discuss your opinions?

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* 23. Please check if you know any of the following people or companies (you may recognize the names of companies, but please ONLY check if you or someone close to you works there or has a business/personal connection).

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