* 1. What date did you come for jury service

Please enter a date

* 2. Where did you serve?

* 3. How long did you wait to check in?

* 4. How long did you wait to go to a courtroom?

* 5. Have you previously been called for jury service in the last 5 years?

* 6. Did you use any of the following?

* 7. On a scale of 1 to 5, with 5 being excellent, please rate the following:

  1 2 3 4 5
Jury check-in and orientation process
Treatment by court staff
Physical comfort
Your overall impression of jury service

* 8. Was there a staff member that was especially helpful?

* 9. Other comments or suggestions

* 10. (Optional) If you are willing to be contacted regarding this matter, please provide the following:

Thank you for your feedback!