Juror Badge Number

JUROR QUESTIONNAIRE
People of the State of Illinois v. Drew Peterson

YOUR ANS~VERS VI/ILL BE USED SOLELY FOR THE SELECTION OF A JURY IN THE ABOVE CASE AND FOR NO OTHER PURPOSE. DO NOT DISCUSS THE QUESTIONS OR ANSWERS WITH FRIENDS, FA MIL Y MEMBERS OR FELLOW JURORS. IT IS IMPORTANT THAT YOUR ANSWERS BE YOUR OWN. PLEASE PRINT OR WRITE LEGIBLY. DO NOT SHOW THIS QUESTIONNAIRE TO ANYONE. DO NOT PUT YOUR NAME OR ADDRESS ANYWHERE ON THE FORM, ONLY YOUR JUROR BADGE NUMBER.
If you need more space to complete your answer, continue your answer on one of the blank pages provided in the back of this questionnaire. Be sure to indicate on the blank page the number of the question you are answering. Juror Badge Number Your sex: Male Female _

1. What is your age?

_ _

2. Where were you born (State if in tJ.S.)?

a. If you were born some place other that the U.S., have you become a U.S.Citizen and if so, when? 3. How long have you lived in Illinois? 4. How long have you lived in Will County? _ _ _

5. in what city or town do you currently reside (if outside a city or town use city or town in your mailing address)? 6. How long have you lived at your current residence? _ _

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7. What is the highest grade level that you completed in school, including any trade or technical school? (circle 1) 7, 8, 9, 10, 11, 12, College 1, College 2, College 3, College 4, Post Graduate _years, Other _ _

8. What is the general condition of your health?

a. If you have any kind of health problem that may affect your ability to be a juror, please state briefly the nature of the problem:

9. Do you require regular or frequent medication or medical care and attention that may affect your ability to sit on a jury? YES__ NO__

a. If your answer was yes, please describe the nature of the medication or medical care and frequency it is required, the affect it has upon you.

10. What is your current employment status? (circle all that apply) a. Employed full-time (over 30 hours per week)

b. Employed part-time (5 to 30 hours per week) c. Unemployed d. Retired e. Student: part -time full-time

f. Homemaker 11. State your occupation for the last five years, beginning with the most current. If you are retired or unemployed, state the date of your retirement/unemployment and

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indicate your occupation for the five years preceding your retirement/unemployment. Do not list the place of employment or company name, just the occupation (i.e. teacher).

12. What is your current marital status? (circle one) a. Married b. Separated c. Divorced 13. Are you currently engaged to be married? Yes No _ d. Widowed e. Never Married

14. If married, what is the employment status of your spouse? (circle all that apply) a. Employed full-time b. Employed part-time c. Unemployed d. Retired e. Student: f. Homemaker 15. State the occupation of your spouse. If he/she is retired or unemployed, state the date of his/her retirement/unemployment and their last occupation. Do not list the place of part-time full-time (over 30 hours per week) (5 to 30 hours per week)

employment or company name, just the occupation (i.e. sales.).

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16. What is the highest grade level completed by your spouse? (see question #7)

17. Have you, your spouse or close family member ever had any formal legal training? Yes No

a. If yes, who had the training and what kind of training was it?

18. If you are single and share living space with another adult or adults, please state the nature of your relationship, their employment and level of education.

19. Have you ever been divorced, or has your life been affected by divorce (this may be a divorce of parents, family members, close friends, etc) Yes No If yes, please explains affect it had on you:

20. Have you or any member of your family ever been in the United States Military? (include reserves, National Guard or ROTC) Yes__ No__

a. If yes, list branch, rank and date of service, if you

b. If yes, what type of discharge did you receive? c. Were you ever in the military police or shore patrol? Yes_ 21. Is English your native language? Yes No

_ No__

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a. If no, what is your native language? ~ b. Do you understand the English language? Yes__ c. Do you speak the English language? Yes__ d. Do you read the English language? Yes__ No No No

e. Do you speak, read, write and or understand any language other than English? Yes No _

If yes, what language(s):

22. If you have children and/or step children, please state the sex, age, and occupation (if any) of each child and indicate whether any still live with you.

23. If you have any grandchildren, please state the sex and age.

24. Have you, your spouse or a close relative ever had any law enforcement training? Yes No

If yes, please state who and whether they became employed in the law enforcement field and in what capacity. (Do not list a specific name of Employer, i.e. Joliet Police Dept.)

25. What civic, social, charitable, volunteer, professional or business organizations do you or your spouse belong to? (Do not list specific name that would identify the specific

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organization, i.e. Mokena Parent Teacher's Organization would be listedas Parent Teacher's Organization; Lockport VFW would be listed as VFW.)

26. Do you or your spouse currently hold an office in any of these organizations? No a. If yes, please indicate the office(s) held.

Yes

27. Do you have a religious affiliation or preference that would affect your ability to bea fair and impartial juror? Yes__ No__

a. If yes, please give a brief explanation.

28. Have you, your spouse, or any member of your family ever been employed by or sought employment with any of the following? (Please check All that apply and indicate who sought or obtained such employment, the county and state such employment, and the job position, if you know.)

D
D D D D

Probation Department State's Attorney Public Defender Attorney Genera 1 Any court, State or Federal ------_

_ _ _

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D D D D D

Any criminal defense law firm. Private Investigation Agency Any television station or network, Any radio station or network Any newspaper, magazine or journal _ _ _

29. Have you, your spouse or anyone in your family ever been charged with, or convicted of any crime, or the subject of a criminal investigation other than a minor traffic or ordinance violation. Yes No

a. If yes, state their relationship to you, the crime, the approximate date, the agency who did the charging or/or investigation, and the outcome. _

b. Do you feel that the charges were handled appropriately? Yes No No Opinion __

If no please explain.

30. Have you, your spouse or anyone in your family ever been the victim of a crime? Yes No

a. If yes, please describe the crime(s) and which person was involved.

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b. Was anyone arrested? c. What was the outcome?

Yes__

No _

31. Indicate below how frequently Regularly

you receive your news from the following Sometimes Seldom Never

news sources.

Channel 2 (CBS) ChannelS (NBC) Channel 7 (ABC) Channel 9 WGN) Channel 32 (FOX) CNN Fox News Other TV News If other TV News please specify Radio Specify Radio stations, _ ---.,._

Chicago Tribune Sun Times Joliet Herald Daily Herald Southtown Other Newspaper _

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If other Newspaper, please specify

Regularly

Sometimes

Seldom

Never

Internet news Please list Internet news sites _

32. Attached to the end of this questionnaire is a list of people. The people on this list may or may not be called to testify in this case. Some of the names are listed because their name may be mentioned in evidence received in the courtroom even though they are not called as a witness. Doyou personally know anyone whose name is contained on this list, Drew Peterson, any of the Attorney's in this case or any other Will County Assistant State's Attorney? Yes No

If yes, please state the name and how you are acquainted with this person: ~ _
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33. The Judge has instructed you that a fundamental principle in our legal system is that each case is to be decided based on the evidence presented in the courtroom that the judge allows and not from any outside influences. Therefore, you are instructed that from this moment forward you MUST NOT read any newspaper accounts or information about this trial, listen to any radio accounts or information about this trial, watch any television accounts or information about this trial, search or read any internet accounts or information about this trial, or discussthis trial with any individual (including family). Will you faithfully follow this instruction? Yes No _

If your answer was No, then explain why it is No.

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Please use the remaining pages to complete any answers to questions above where there was not enough space allotted. If you need clarification or assistance with any of the above questionnaire please ask.