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2. Please rate the following factors concerning your jury duty experience.
   1 = Strongly Disagree and 4 = Strongly Agree
4. Date(s) of Jury Service*
   Date(s) of Jury Service Start Date

   —

   Date(s) of Jury Service End Date
   Enter the date or range of dates you served for jury duty. If you are not sure of the exact date please give an estimate.
6. Jury Summons was easy to understand.*

   1. 1-Strongly Disagree

   1. 2

   1. 3

   1. 4-Strongly Agree
7. Additional comments and feedback about Jury Summons.
9. The check-in process went smoothly.*

   1. 1-Strongly Disagree

   1. 2

   1. 3

   1. 4-Strongly Agree
11. Additional Comments about jury check-in.
13. Initial Jury Orientation was helpful.*

    1. 1-Strongly Disagree

    1. 2

    1. 3

    1. 4-Strongly Agree
15. Additional comments/feedback about Jury Orientation.
17. Court Personnel treated me with courtesy and respect.*

    1. 1-Strongly Disagree

    1. 2

    1. 3

    1. 4-Strongly Agree
19. Additional comments/feedback about treatment of court personnel.
21. Physical comforts for jurors were satisfactory.*

    1. 1-Strongly Disagree

    1. 2

    1. 3

    1. 4-Strongly Agree
23. Additional comments/feedback about physical comforts of the jury waiting room and courtroom
25. The court made good use of my time during jury duty.*

    1. 1-Strongly disagree

    1. 2

    1. 3

    1. 4-Strongly Agree
27. Additional comments and feedback about the scheduling of your time.
29. Rate your Overall Experience*

    1. 1 - worst

    1. 2 - bad

    1. 3 - good

    1. 4 - best
31. First Name
32. Last Name
33. Phone
34. Email
36. Additional Comments / Suggestions
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit Submit and Print

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