RULE 3.9855. JUROR VOIR DIRE QUESTIONNAIRE

DIRECTIONS TO CLERKS, ATTORNEYS, AND PRO SE
LITIGANTS:
Before you file a copy of this form, redact the month and date
of the prospective juror’s birth in question #1, but retain the
year of birth.
Fla. R. Gen. Prac. & Jud. Admin. 2.425(a)(2).

JUROR VOIR DIRE QUESTIONNAIRE

1. Name and date of birth

2. What city, town or area of the county do you live in?
Zip code

3. Years of residence: In Florida
In this county

4. Former residence

5. Marital status (married, single, divorced, widow, or widower)


6. Your occupation and employer


7. If you are not now employed, give your last occupation and
employer

8. If married, name and occupation of spouse



9. Have you ever served as a juror before? yes _____ no ____

If yes, civil ____ criminal ____

Did the jury reach a verdict? yes _____ no _____
Were you the foreperson? yes _____ no _____

10. If you have children, give the age, sex and occupation of those
children




11. Are you either a close friend or relative of any law enforcement
officer?


12. Have you, a close friend, or family member been the victim of a
crime?



13. Have you, a close friend, or family member been arrested or
accused of a crime?