This document is page 7 (filed as page 8 of 40) of a blank juror questionnaire for Case 1:20-cr-00330 (USA v. Ghislaine Maxwell), filed on October 22, 2021. It contains questions 5 through 8a regarding the potential juror's availability, English proficiency, medical condition, and medication use, with visible manual re-numbering of the questions.
| Name | Role | Context |
|---|---|---|
| Unknown | Juror (Potential) |
Recipient of the questionnaire (indicated by 'Juror ID' line)
|
| Location | Context |
|---|---|
|
Location where the trial is held and jurors must attend
|
"Do you have any personal commitments that would make it difficult for you to get to court by 9:30 a.m., every day of trial, or remain at the courthouse until 5:00 p.m.?"Source
"(Please note, the Court will arrange and provide transportation to and from the Courthouse each day for selected jurors)."Source
"Do you have any medical, physical, or mental condition or illness that makes you unable to serve on a jury, including difficulty hearing, seeing, reading, or concentrating?"Source
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