Voir Dire Questionnaire Template
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1VOIR DIRE QUESTIONNAIRE
Juror Information
First Name
Last Name
Middle Initial
Maiden Name
Juror Number
DOB
Location of Birth
Sex
Race
Mailing Address
County
Home Phone Number
Cell Phone Number
Work Number
Marital Status
Spouse Name
Occupation
Occupation
Employer
Government/Official Jobs Held
Years at Job
Years Lived in County
Years Lived in State
Miles from Home to Court
Miles from Work to Court
Please Answer All Questions to the Best of Your Ability
1. Have you ever sat on a jury for a criminal case?
2. Have you ever sat on a jury for a civil case?
3. Have you ever been a witness?
4. Have you ever had charges similar to this case pressed against you?
5. Have you, a family member, or a friend ever been the victim in a case similar to this one?
6. If you were facing these charges, would you want yourself to be on the jury?
7. Are you acquainted with the Plaintiff/Petitioner or Defendant/Respondent?
8. Do you have any opinions on the Defendant’s innocence or guilt?
9. Are you able to put aside any personal biases, opinions, and/or prior knowledge about this
case and base your decision solely on testimony and evidence provided in the courtroom?
10. Once you have formed an opinion, do you have trouble keeping an open mind to new
information or opinions?
11. If all the other jurors reached a different decision than you, would you change your decision
to go along with the group?
12. Would you believe the testimony of an expert witness?
13. Are there any questions not included here you think are important?
I hereby swear that all information listed above is factually true to the best of my knowledge.
Signature:
Date:
o Accept
o Strike for Cause:
o
Reject
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Parent category: Life