Juror Registration Form. The "Jurors B" Survey has been concluded, therefore no further registrations are being invited at this time. We thank you for your interest in participating. To return to the site and view other Juror surveys, please click here.

Survey Password: (This password is contained in the email invitation you received to participate,) Your Name (First name and Last Name without a space) For example: JohnDoe or MaryDoe (This will be your user name) A password (the last four digits of your social security or driver's license number): (This will be your password) Postal Address Street Address   City State Zipcode County Country E-mail Address Are you a US citizen? Yes No Are you a registered voter? Yes No Do you have a valid driving license? Yes No Age Select Age Range 18 to 34 35-69 70 and older Regardless of age are you willing to serve on a jury? Yes No Gender Male Female Your Occupation Select Occupation Professional/Executive/Self-Employed White Collar Blue Collar Homemaker/Student/Retired Not Working Highest Level of Education Select Education Level High School or less Some College College and beyond Combined Family Income Select Combined Family Income Low Income Middle Income High Income Are you...? Married Single A domestic partner Please indicate how many children you have. 0 1 2 3 4 5 6 7 8 9 10 Do you have young children at home that you alone care for? Yes No Do you have a mental or physical disability that would make it hard for you to serve on a jury? Yes No Have you ever been summoned for jury duty, whether you were chosen or not? Yes No Have you ever been convicted of a felony? Yes No Ethnicity Select Ethnicity African American Asian Hispanic White Religion Languages spoken and understood What is your political party preference? Democratic Republican Independent Other In general, what are your views? Conservative Moderate Liberal