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Case 3:12-cv-08123-HRH Document 735 Filed 10/27/15 Page 1 of 24

JUROR #________
UNITED STATES DISTRICT COURT
DISTRICT OF ARIZONA

UNITED STATES OF AMERICA,


Plaintiff,
vs.
TOWN OF COLORADO CITY,
ARIZONA; CITY OF HILDALE, UTAH;
and TWIN CITY WATER AUTHORITY,
Defendants.
___________________________________

) NO. 12-cv-8123
)
)
) CONFIDENTIAL JUROR
) QUESTIONNAIRE
)
)
)
)
)
)
)

sltrib.com

Only the Court and the attorneys will use the information that you give in response to this
questionnaire. Your responses to this questionnaire will be kept confidential and all parties will
be under orders to maintain the confidentiality of any information they learn in the course of
reviewing these questionnaires.
Please answer each question below as completely and as accurately as you reasonably can.
PLEASE COMPLETE YOUR ANSWERS IN PEN. If there is not enough space for you to
complete an answer, please complete your answer in the blank pages at the end, writing for
example Question No. 5, continued.... Please do not write on the back of any page.
If there is a question that you do not want to answer because of privacy concerns, then
write in the blank by that question the word "privacy." You may need to visit with the Judge and
the attorneys out of the presence of the other potential jurors concerning that question. If you
simply cannot understand a question, then write in the blank by that question the words "do not
understand."
You are expected to sign your questionnaire, and your answers will have the effect of a
statement given to the Court under oath. What is needed is your very best, honest effort to answer
the questions contained in this questionnaire.
The sole purpose of the questionnaire is to encourage your full expression and candor so
that the parties will have a meaningful opportunity to select a fair and impartial jury to try the
issues of the case. Your full cooperation is of vital importance. Thank you for your assistance.
/s/ H. Russel Holland
The Honorable H. Russel Holland
United States District Judge

Case 3:12-cv-08123-HRH Document 735 Filed 10/27/15 Page 2 of 24


JUROR #________
**PLEASE DO NOT WRITE ON THE BACK OF THIS QUESTIONNAIRE.
**PLEASE USE BLACK OR BLUE INK.
**PLEASE SIGN THE AFFIRMATION ON PAGE 23.
Juror # ____________

Full Name: ______________________________________

Gender: _____ Female _____ Male


Age: _______________
1.

What is your current address? _______________________________________________


_______________________________________________
City_______________ County ______________ Zip _______

2.
The Court and the parties estimate that, after a jury is selected, this case may last
approximately 22 trial days. The trial will begin on January 19, 2016 and last until approximately
February 23, 2016. To be on the safe side, therefore, we are requiring that the jurors who serve on
this case must be available through the end of February 2016. Trial will be in session, generally
speaking, from Monday to Thursday from 9:00 a.m. to 4:30 p.m., and Fridays from 9:00 a.m. to
noon. The Court will arrange for hotel accommodations near the courthouse in Phoenix, Arizona.
Jurors are free to return home on Fridays and return to Phoenix on Sunday. Your travel costs will
be reimbursed.
Does the estimated length of the trial preclude you from serving as a juror in this case? Yes___
No____. If yes, briefly explain why.

The Court views service on a jury in a federal civil trial to be one of the highest duties a citizen
owes to the United States. Mere inconvenience or the usual financial hardships of jury service will
be insufficient to excuse a prospective juror.
Do you have an unusual financial hardship or other serious problem that would prevent you from
serving as a juror in this case? Yes____ No_____. If yes, briefly explain the hardship.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
STATEMENT OF CASE:
The Plaintiff in this case is the United States of America represented by the Department of Justice.
The Defendants are the City of Hildale, Utah; the Town of Colorado City, Arizona; and Twin City

Case 3:12-cv-08123-HRH Document 735 Filed 10/27/15 Page 3 of 24


JUROR #________
Water Authority. In this case, the United States has alleged that the Defendants engaged in a
pattern or practice of police misconduct and have violated the First, Fourth, and Fourteenth
Amendments of the United States Constitution. Specifically, the United States has alleged that
the Defendants shared police department, the Marshals Department, has engaged in a pattern or
practice of misconduct that includes giving control over police operations to the Fundamentalist
Church of Jesus Christ of Latter Day Saints (FLDS Church), a religious group, in violation of
the First Amendment; engaging in unreasonable searches and seizures in violation of the Fourth
Amendment; and discriminating on the basis of religion in violation of the Fourteenth Amendment.
The United States has also alleged that the Defendants violated the federal Fair Housing Act by
engaging in a pattern or practice of discrimination in housing on the basis of religion. Specifically,
the United States has alleged that the Defendants denied water services and police services on the
basis of religion. The Defendants deny all of these allegations. Specifically, the Defendants assert
that their police officers have not engaged in a pattern or practice of misconduct and do not
discriminate on the basis or religion. The Defendants also assert that they have not engaged in any
pattern or practice to deny water services or police services to any resident due to religion.
3.
Given this brief recitation of issues, is there anything about these circumstances or facts
that cause you to believe that you could not consider the evidence fairly, impartially, and according
to the Courts jury instructions? ____Yes ____No. If yes, please explain:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
4.

Length of time at current address. ______________________________________


(a) How long have you lived in Arizona? ___________________________________
(b) Indicate other places you have lived if you lived in that place for over two years.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
(c) Have you ever lived in Utah? ____Yes ____No. If yes, indicate how long you lived in
Utah. ______________________________________

5.

What is your racial/ethnic background?


_____ White/Caucasian, not Hispanic
_____ Black/African-American, not Hispanic
_____ Hispanic/Latino
_____ American Indian or Native American
_____ Asian or South Asian
_____ Other (please specify)

Case 3:12-cv-08123-HRH Document 735 Filed 10/27/15 Page 4 of 24


JUROR #________

6.
Have you read or heard anything about the facts of this case other than reading this
questionnaire? Yes ___ No ___. If yes, please explain what you have heard or read.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
7.
Do you think the media has been unfair to any of the Defendants? Yes ___ No ___. If yes,
which Defendant(s) and please explain:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
8.
Have you read or heard anything in the media or from friends about Warren Jeffs and/or
about the Fundamentalist Church of Jesus Christ of Latter-Day Saints (FLDS Church)? Yes ___
No ___. If yes, please explain what you have heard or read and please identify any media report
you can recall.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
9.
If you answered yes, to Question No. 8, above, then answer the following: Even though I
have read or heard press reports about Warren Jeffs and about the Fundamentalist Church of Jesus
Christ of Latter-Day Saints (FLDS Church), I feel I can decide the case on the evidence presented
in court and follow the Courts instruction of law.
Strongly Agree

Agree

Disagree

Strongly Disagree

10.
Is there any reason why you feel you cannot be fair and impartial to the Federal
Government/Department of Justice or to the Defendants in this case? ___Yes ___No. If yes, please
explain:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
11.
How often do you seek leadership positions at work, or in your community and recreational
activities?
Often

Sometimes

Seldom

Never

Case 3:12-cv-08123-HRH Document 735 Filed 10/27/15 Page 5 of 24


JUROR #________
12.
Check the box that best reflects your level of agreement or disagreement with this
statement: If the Courts jury instructions conflict with my conscience, attitude or belief about
what the law should be, I would follow my conscience.
Strongly Agree
13.

Agree

Disagree

Strongly Disagree

Regarding your residence: (check all that apply)


___ House

____ Apartment

___ Rent

____ Own

___ Live with others and do not pay rent


14.

Your current marital status:


___ Engaged

___ Married, ___ yrs

___ Never married

___ Partnered, ___ yrs

___ Separated, ___ yrs

___ Divorced, ___ yrs

___ Widowed, ___ yrs


15.

Your highest level of education completed:


___ Grade school or less
___ Some high school
___ High school graduate
___ Some college or AA degree (major): _____________________
___ Technical or vocational school (major): ___________________
___ College graduate (major): ______________________________
___ Post graduate study (major): ____________________________
___ Other (please explain): _________________________________

16.
Educational background of any other adult who lives in your home, including any degrees
or certificates earned:
____________________________________________________________________________
____________________________________________________________________________

Case 3:12-cv-08123-HRH Document 735 Filed 10/27/15 Page 6 of 24


JUROR #________
____________________________________________________________________________
____________________________________________________________________________
17.

Your current or most recent occupation: ______________________________________

What are your specific duties and responsibilities on the job?


____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
18.

Your present employment status (check all that apply):


___ Employed full-time

___ Employed part-time

___ Business owner

___ Do not work outside the home

___ Self employed

___ Work more than one job

___ Retired in ____ year

___ Homemaker

___ Do not work due to a disability

___Unemployed, looking for work

___ Laid off

___ Full-time student

If you are employed, please answer the following:


(a) How long have you been employed in your present job? _____________________
(b) Do you supervise others in your job? Yes ______ No __________
If yes, approximately how many people do you supervise? _________________
(d) Check the following category that best describes your employer:
___Federal government agency
___State government agency
___County government agency
___City government agency
___Private, for-profit organization

Case 3:12-cv-08123-HRH Document 735 Filed 10/27/15 Page 7 of 24


JUROR #________
___Private, not-for-profit organization
___Self-employed
___Other:
(e) If you are self-employed, answer the following:
(i) What type of business is it?
______________________________________________________________
______________________________________________________________

(ii) How long have you been self-employed? ___________________________


(iii) How many employees do you have if any? __________________________
19.
Name of your current employer, or if not currently employed, your most recent employer,
or if a student, your school._______________________________________________________
20.
Have you ever worked with any city, state, or federal government as part of your job? Yes
___ No ___. If yes, please describe, including whether you have had any problems:
____________________________________________________________________________
____________________________________________________________________________
21.
Please list all other employment you have had to the best of your memory (and for how
long):
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
22.
Place a check mark on the appropriate line(s) if you or anyone close to you has ever been
employed in any capacity by any of the following types of businesses or occupations:
Yourself
___
___
___
___

Someone Close
___
Lawyer, law firm or any court in the state of Arizona or
Utah
___
Crime investigation or law enforcement
___
Government employee (any level of government)
___
health, life, casualty or accidental injury benefits
or programs

If you checked any lines above, please state the relationship of that person to you, the type
and details of employment and the years of employment:
____________________________________________________________________
____________________________________________________________________
7

Case 3:12-cv-08123-HRH Document 735 Filed 10/27/15 Page 8 of 24


JUROR #________
23.
Have you, your relatives or anyone close to you ever worked for or applied for work with
a federal, state or local government agency or department? Yes ____ No ____. If yes, please
describe who, the agency, the job title and dates of employment.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
24.
Have you or anyone close to you ever for worked for the Town of Hildale, Utah, Twin City
Water Authority, or Colorado City, Arizona? Yes_____ No_____. If yes, please describe the work
performed and the dates of employment.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
25.
Have you been laid off, terminated, or demoted from any job in the last 5 years? Yes ____
No ____. If yes, please describe:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
26.
Have you or anyone close to you ever worked in or been involved with a Utility company?
Yes ___ No ___. If yes, please describe the work performed and the dates of employment:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
27.
Have you or anyone close to you ever worked or been involved in law enforcement or a
private security company? Yes ____ No _____. If yes, please describe the work performed and
the dates of employment.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
28.
Have you ever worked with a company or business that bid for contracts or subcontracts
from a local, state or federal government? Yes ___ No ___. If yes, please describe:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

Case 3:12-cv-08123-HRH Document 735 Filed 10/27/15 Page 9 of 24


JUROR #________
29.
Have you or your spouse/domestic partner ever served in the armed forces, including the
reserves, National Guard, Merchant Marine or ROTC? Yes ___ No ___. If yes, please describe
who served, which branch, highest rank reached, dates and location of service and type of
discharge.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
30.
Have you, your spouse/domestic partner, or any member of your family or a close friend,
been involved in a claim, dispute, lawsuit, or legal proceeding with any federal, state, or local
government agency? Yes ____ No _____. If yes, please explain:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
31.
Have you, your place of business/workplace, or any organization in which you have been
involved ever had an allegation or complaint made against you/it concerning any type of
discrimination (e.g., racial, religious, age, gender, sexual orientation, employment, or
harassment)?
Yes ____ No _____.
(a)
If yes, please explain and include the outcome of the situation.
________________________________________________________________________
________________________________________________________________________
(b)

How do you, or does the person close to you, feel about the way the situation was
handled?

________________________________________________________________________
________________________________________________________________________
(c)

In what ways, if any, did any of these incidents affect your views about claims of
discrimination or harassment?
________________________________________________________________________
________________________________________________________________________
32.
Have you or a relative or close friend ever filed any complaint or lawsuit alleging
discrimination of any kind?
___ Yes ___ No
If yes, please explain your answer:
______________________________________________________________________________
______________________________________________________________________________

Case 3:12-cv-08123-HRH Document 735 Filed 10/27/15 Page 10 of 24


JUROR #________
______________________________________________________________________________
______________________________________________________________________________
33.
Based upon your understanding of religious discrimination, do you believe it is extremely
rare or common? Circle the position that best matches your opinion.
1
2
Extremely Rare

4
5
No Opinion

6
7
Very Common

Please explain your answer:


______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
34.
Have you or has anyone close to you had training or work experience in any of the
following?
___ Safety Practices
___ Forensic Science
___ Psychology / Social Work
___ Police Science
___ Counseling
___ Quality Assurance / Quality Control
___ Engineering
___ Government Affairs
___ Government Administration
___ Crime Investigation
___ Water Rights
___ Home Security
___ Engineering
___ Commercial Security
___ Law
___ Criminal or Civil Justice System
___ Political Science
___ Administering Utility Services
___ Seminary, Ministry, Clergy
___ Real Estate Development
___ City Planning
___ Wastewater Management
___ Water Conservation
___ Water Management/Distribution
___ Construction
If you have checked any of the above, please explain:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
35.
Do you, any close friends or relatives have any experience, training, or knowledge in
managing a governmental body or agency? Yes ____ No ____. If yes, please explain:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

10

Case 3:12-cv-08123-HRH Document 735 Filed 10/27/15 Page 11 of 24


JUROR #________
36.
To the best of your knowledge, describe all, current full-time employment of your spouse
or any person you have a significant personal relationship with (and for how long):
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
37.
If you have had children or minors living in your home, please list (including any children
who do not currently live with you):
Sex
____
____
____
____
____

Age
____
____
____
____
____

Does child live with you?


___________
___________
___________
___________
___________

Education
______________
______________
______________
______________
______________

Occupation
_________________
_________________
_________________
_________________
_________________

38.
Have you, a close friend or relative ever run for, been elected to, or been appointed to,
public office, or worked in the office of any elected or appointed public official at the federal, state
or local level? Yes ___ No ___. If yes, please describe:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
39.
Have you, a close friend or relative ever worked as a lobbyist or consultant to a company
doing business with a governmental entity? Yes ___ No ___. If yes, please describe:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
40.

How closely do you follow federal, state, and/or local politics? (Choose one)
______ Very closely
______ Somewhat closely
______ Not very closely
______ Not at all

41.

How interested are you in politics? (Choose one)


______ Very interested
______ Somewhat interested
______ Not very interested
______ Not at all interested

11

Case 3:12-cv-08123-HRH Document 735 Filed 10/27/15 Page 12 of 24


JUROR #________
42.
List any hobbies and special interests that you have: (In other words how do you spend
your free time?)
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
43.
List any newspapers and magazines that you subscribe to or read, in hard copy or online.
Indicate how frequently you read these periodicals (e.g., daily, often, occasionally or rarely).
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
44.
List any television programs or websites dealing with the justice system that you watch or
visit, including investigative news programs (e.g., Dateline, 48 Hours, 20/20) or crime drama
shows, (e.g., CSI, Law & Order), and how frequently you watch these programs/shows (e.g., daily,
often, occasionally or rarely).
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
45.

What is your MAIN source of news?


______ Television
______ Radio
______ Newspaper
______ Internet
______ Family/Friends
______ I dont follow the news

46.
Have you ever had to appear in court, or in any legal proceeding, including a deposition,
as a plaintiff, defendant, victim, or witness for any reason other than that explained in questions
30 and 31, above? Yes ___ No ___. If yes, please state when and explain why you appeared in
court:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
47.

Which of the following best describes the way you most prefer to work?
______ I like to lead a group of others;
______ I like to work on my own;
______ I like to work with a group where there is no single leader;
______ I like to work in a group with another person leading me.

12

Case 3:12-cv-08123-HRH Document 735 Filed 10/27/15 Page 13 of 24


JUROR #________
48.

Have you, or has anyone close to you ever:


Yourself
___
___
___

Someone Close
___
___
___

___
___

___
___

___

___

___

___

a. Sued someone else


b. Been sued by someone else
c. Been involved in a lawsuit of any kind, in any capacity
(other than divorce)
d. Made any kind of claim for personal injury
e. Experienced any type of permanent injury, disease or
disability
f. Been unable to work due to a permanent injury, disease
or disability
g. Owned a business

If you answered yes to any of the above, please explain:


____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
49.
Have you or anyone close to you ever chosen not to file a lawsuit even though you had the
opportunity to sue or thought about suing? ___ Yes ___ No. If yes, please explain:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
50.
Do you think that people with strongly held religious convictions are treated unfairly in the
civil or criminal justice system? Yes ____ No ____. If yes, please explain:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
51.
Have you experienced any significant losses within the past three years, such as death,
divorce, separation or the loss of a job? ___ Yes ___ No. If Yes, please explain:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
52.
Have you, or any member of your family, ever had a tax return audited by the IRS or by a
state or local taxing authority? Yes ____ No_____. If yes, please explain:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

13

Case 3:12-cv-08123-HRH Document 735 Filed 10/27/15 Page 14 of 24


JUROR #________
53.
Do you feel that the Federal government ever has treated you, your close family members
or any friends unfairly or unjustly? ____Yes ____No. If yes, please explain:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
54.
Do you believe the federal government treats certain religious, political or ethnic groups in
our society unfairly? Yes ___ No ___. If yes, please explain:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
55.
Have you or a family member ever had a negative experience with any governmental
entity? ___ Yes ___ No. If Yes, please explain:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
56.
Have you ever served as a juror at a trial before? Yes ______ No ______ If yes, in how
many cases have you served? _______
(a)
(b)
(c)
(d)

Where did you serve? _______________________________________


What kinds of cases, civil or criminal? _________________________
Were you ever the jury foreperson? ___________________________________
Was your jury service a positive or negative experience? ___________________

57.
Have you, a family member or a close friend ever been involved in, or been the target of,
a criminal investigation, or accused of, arrested for, or charged with a crime?
Yes (self) ______

Yes (family/friend) _____

No ______

(a) If yes, without mentioning names, please generally describe the circumstances
surrounding the criminal investigation(s) and your relationship(s) to the person(s)
involved:
_________________________________________________________________
_________________________________________________________________
__________________________________________________________________
(b) If you answered yes, do you feel that the individual who was investigated or charged
was treated fairly by the criminal justice system? Yes __ No ___. If no, without naming
the individual or case, please explain:
__________________________________________________________________
__________________________________________________________________

14

Case 3:12-cv-08123-HRH Document 735 Filed 10/27/15 Page 15 of 24


JUROR #________

58.
From what you have heard or read, do you think money damages from recent lawsuits have
generally been:
___
___
___
___

Too high
About right
Too low
No opinion

59.
Do you support legislative reforms to place caps or limits on the amount of money juries
can award? ___ Yes ___ No. Please explain:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
60.
The following are types of damages that people can seek money for in a lawsuit. If there
was evidence justifying it, would you be willing to award money for:
Mental anguish?
Pain and suffering?
Emotional Distress?

___ Yes ___ No


___ Yes ___ No
___ Yes ___ No

If your answer is no to any of the above, please explain why not.


____________________________________________________________________
____________________________________________________________________
61.

How frequently do you discuss politics with family and friends?


____Several times a week
____Three times a week
____Twice a week
____Once a week
____Never

62.
How would you rate your knowledge of the workings of Federal, State, local or city
governments?
___ Extremely knowledgeable ___ Fairly knowledgeable
___ Somewhat knowledgeable ___ Not at all knowledgeable
63.

I have more negative than positive feelings towards the United States government.
Strongly Agree

Agree

Disagree

15

Strongly Disagree

Case 3:12-cv-08123-HRH Document 735 Filed 10/27/15 Page 16 of 24


JUROR #________
64.
If the Federal government spent less time trying to fix everyones problems, we would all
be a lot better off.
Strongly Agree

Agree

Disagree

Strongly Disagree

65.
In general, the United States government does more harm than good when it gets involved
in city or state affairs.
Strongly Agree

Agree

Disagree

Strongly Disagree

66.
I think problems that occur in Arizona and Utah are best left to state and local governments
to resolve without the United States government getting involved.
Strongly Agree
67.

Strongly Disagree

Agree

Disagree

Strongly Disagree

Agree

Disagree

Strongly Disagree

I do not trust the justice system.


Strongly Agree

68.

Disagree

Agree

The justice system is broken.


Strongly Agree

69.
I have strong feelings and beliefs that it is wrong for me to sit in judgment of a party in the
justice system.
Strongly Agree

Agree

Disagree

Strongly Disagree

70.
It is not the United States governments business to protect a person from a city infringing
on constitutional rights.
Strongly Agree
71.

Strongly Disagree

Agree

Disagree

Strongly Disagree

This country has gone too far in pushing equal rights.


Strongly Agree

73.

Disagree

The Federal government interferes too much with rights of its citizens.
Strongly Agree

72.

Agree

Agree

Disagree

Strongly Disagree

Lawsuits against cities or governmental entities are bad for the economy.
Strongly Agree

Agree

Disagree

16

Strongly Disagree

Case 3:12-cv-08123-HRH Document 735 Filed 10/27/15 Page 17 of 24


JUROR #________
74.

Lawsuits are costing us all too much money.


Strongly Agree

75.

Strongly Disagree

Agree

Disagree

Strongly Disagree

The Federal government should stop telling people how to live their lives.
Strongly Agree

77.

Disagree

Government regulations are almost always a waste of everyones time and money.
Strongly Agree

76.

Agree

Agree

Disagree

Strongly Disagree

People should be able to rely on the government for help when they need it.
Strongly Agree

Agree

Disagree

Strongly Disagree

78.
No matter what evidence is presented, I could never be persuaded to hold a city or town
liable for damages for emotional distress as a result of housing discrimination because the Federal
government should not be interfering with how an Arizona or Utah city manages its affairs.
Strongly Agree

Agree

Disagree

Strongly Disagree

79.
No matter what evidence is presented, I could never be persuaded to award damages for
emotional distress as a result of housing discrimination by a city because the people can simply
move to another town.
Strongly Agree

Agree

Disagree

Strongly Disagree

80.
No matter what the evidence is, I could never award damages for emotional distress as
result of the housing discrimination when the residents chose to live in the community.
Strongly Agree
81.

Agree

Disagree

Strongly Disagree

How much do you agree or disagree with the following opinions?


(a) If I suffered housing discrimination I would move to another city.
Strongly Agree

Agree

Disagree

Strongly Disagree

Disagree

Strongly Disagree

(b) People are too ready to sue.


Strongly Agree

Agree

(c) Anybody who chose to live in Colorado City or Hildale should not be allowed to sue
because they knew what they were getting into when they decided to live there.

17

Case 3:12-cv-08123-HRH Document 735 Filed 10/27/15 Page 18 of 24


JUROR #________

Strongly Agree

Agree

Disagree

Strongly Disagree

82.
Have you ever known anyone who has suffered any type of discrimination?
___ Yes ___ No. If yes, please explain:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
83.
An individual who engages in polygamy / plural marriage is less trustworthy than an
individual who does not.
Strongly Agree

Agree

Disagree

Strongly Disagree

84.
Have you watched any movies, documentaries, cable television or network shows or news
specials about polygamy and plural marriage (e.g. Sister Wives, Big Love, Polygamy USA,
Prophets Prey, etc.)? Yes____ No_____. If yes, explain which ones:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
85.
Have you watched any documentaries, cable television or network shows or news specials
about the FLDS Church and/or its practices? Yes____ No____. If yes, explain:

86.
If you have previously visited, heard about, read, or seen information about Colorado City
or Hildale City, what is your opinion of these communities?

87.
Have you previously watched any documentaries cable television or network show or news
about Warren Jeffs? Yes____ No____. If yes, explain:

88.
The FLDS Church is the dominant religion for individuals who reside in Colorado City
and Hildale. Will your opinions regarding the FLDS Church and/or Warren Jeffs impact your

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JUROR #________
ability to separate the FLDS Churchs conduct from the conduct of Colorado City and Hildale?
Yes____ No____. If yes, explain:

89.
Will your opinions regarding the FLDS Church and/or Warren Jeffs impact your ability to
review the evidence presented during this trial fairly and impartially? Yes____ No____. If yes,
explain:

90.
Have you or anyone close to you ever been subjected to what you would describe as a
negative encounter with police officers or law enforcement?
___ Yes ___ No
If yes, please describe the incident:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
91.
Choose the option that best describes your general opinion of police officers or law
enforcement:
1
2
3
4
5
Extremely Low
No Opinion

6
7
Very High

Please explain your answer:


______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
92.
Will your experiences or opinions regarding police officers or law enforcement impact
your ability to review the evidence presented during this trial fairly and impartially? Yes____
No____. If yes, explain:

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JUROR #________

93.
Have you known anyone who has lived in Hildale, Utah or Colorado City, Arizona?
___ Yes ___ No. If yes, please explain:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
94.
Have you ever known someone who is or has been a member of the FLDS Church?
___Yes ___ No. If yes, please describe the persons relationship to you and whether the experience
would interfere with your ability to sit as a fair and impartial juror.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
95.
Do you have any thoughts about claims for money for mental anguish and/or pain and
suffering? ___ Yes ___ No ___ Unsure. If yes, please explain:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
96.
In a civil case, the burden of proof is by a preponderance of the evidence (more probable
than not), in contrast to a criminal case where the burden of proof is beyond a reasonable
doubt. Would you require greater proof than a preponderance of the evidence in a claim for
damages for emotional distress? _____Yes ___No. If yes, please explain:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
97.
The United States is the Plaintiff in this case. Would you require the United States to meet
a higher burden of proof than the preponderance of the evidence simply because it is the Federal
government? ____Yes ___No. If Yes, please explain:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

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JUROR #________
98.
If you are chosen to be a juror, and while jury selection is in process, you are not permitted
to read or listen to any media or Internet coverage of this case and related subjects while the case
is pending. Will you be able to follow these restrictions in light of the fact that this trial will be
lengthy? Yes ___ No ___. If no, please explain:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
99.
If you are chosen to be a juror, and while jury selection is in process, the Court will instruct
you that you will not be able to blog, tweet, post on Facebook or other social networks, talk about,
or otherwise communicate anything about this case while the case is pending. Is there any reason
why you cannot follow this instruction? Yes ___ No ___. If yes, please explain:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
100. Do you have any personal, religious, moral, philosophical, or other belief that would
prevent you from applying the law given to you by the Court to the evidence of the case? Yes___
No ___. If yes, please explain:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
101. Do you have any ethical, religious, political or other beliefs that might prevent you from
serving as a juror? ___ Yes ___ No. If yes, please explain:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
102. Do you have any personal, professional, or financial obligations that would prevent you
from giving your full attention, or prevent you from being in court, during this trial?
___Yes ___ No. If yes, please explain:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
103. Is there anything not covered by this questionnaire that might affect your ability to be a fair
and impartial juror? ___ Yes ___ No. If yes, please explain:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

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JUROR #________
104. The attorneys may need to ask you follow-up questions. Are there any questions you would
prefer to discuss in private? ___ Yes ___ No. If yes, please indicate the question numbers here:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
105. If you have any bumper stickers or vanity license place on your vehicle, state the content
of those items:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
106.

What internet sites to you visit regularly, if any?

107. Do you belong to any clubs, associations, or civic groups such as, but not limited to,
Kiwanis, Rotary Club, Exchange Club, Knights of Columbus, Veterans of Foreign Wars,
American Legion, American Civil Liberties Union, National Rifle Association, League of Women
Voters, or any other organization?
___ Yes ___No. If yes, please list those to which you belong.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
108. Are you a member (or affiliated in any way) of a religious denomination (for example,
Baptist, Pentecostal, Catholic, etc.)?
___ Yes ___No
If yes, please describe the denomination.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
109.

How often do you attend church:


Regularly: ___
Periodically: ___
Sporadically: ___
Seldom: ___
Never: ___

**PLEASE SIGN THE AFFIRMATION ON THE NEXT PAGE.

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JUROR #________

AFFIRMATION
I, _______________________hereby declare under penalty of perjury that the foregoing
answers set forth in this Jury Questionnaire are true and correct to the best of my knowledge
and belief. I have not discussed my answers with others or received assistance in completing
the questionnaire. I have answered all of the above questions in this Jury Questionnaire
myself.
Executed on this

day of ___________________, 2015.


_____________________________________________
Signature

Continuation of Answers:
Question No. ____, continued:

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JUROR #________

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