Florida car accident Initial Focus Group Participant Questionnaire 1800-HURT-911

Florida car accident Initial Focus Group Participant Questionnaire 1800-HURT-911
FACTS ABOUT YOU

NOTE: Please ask for help if you do not understand any questions.

1. Name:
2. Address:
•Apartment •Mobile Home •Single Family •Duplex •Condominium
3. • Male • Female
4. Age: years
5. Marital Status: • Single • Married • Divorced • Widowed
6. Are you retired? •Yes •No
7. If retired, last occupation:
8. If not retired, current occupation:
9. Who is your employer?
10. Is your spouse retired? •Yes •No
11. If so, state last occupation:
12. If spouse not retired, state his/her current occupation:
13. How far did you go in school/college?
14. Any degrees held?
15. How far did your spouse go in school/college?
16. Any degrees held by spouse?
17. How many children do you Have (with respect to a West Palm Beach Florida car accident) ? Ages:
18. Are you a member of any organized religion in which you are regularly or continually involved? •Yes •No
What religion?
19. Do you suffer from any disabling conditions? If so, please explain:

20. Do you Have (with respect to a West Palm Beach Florida car accident) friends or relatives who are confined to a bed or a wheelchair? Please explain:

21. Do you Have (with respect to a West Palm Beach Florida car accident) friends or relatives who suffer from any disabling conditions? If so, please explain:

22. If you or anyone in your family or any close friends are in the medical profession (doctors, nurses, aides, lab technicians, etc.), please list the relationship and the profession:
23. If you, anyone in your family, or any close friends or neighbors are in the legal profession (Judge, lawyer, paralegal, legal secretary), please state the relationship and the profession:
24. Have (with respect to a West Palm Beach Florida car accident) you or any family members ever worked as a claims adjuster for an insurance company, railroad, trucking company, or corporation, or handled insurance claims? •Yes •No
25. Have (with respect to a West Palm Beach Florida car accident) you ever been employed as a professional truck driver? •Yes •No
Please explain:
26. Have (with respect to a West Palm Beach Florida car accident) you ever driven a truck larger than a pick-up truck? •Yes •No
Please explain:
27. Have (with respect to a West Palm Beach Florida car accident) you ever been involved in a vehicular collision where someone was injured or killed? Please explain:
28. Were you ever acquainted with:
(1) Plaintiff
(2) Defendant truck driver
(3) Any other employees of defendant trucking company
(4) Any State Transportation Department employees
Please specify:
29. Have (with respect to a West Palm Beach Florida car accident) you ever sued anyone for personal injury or death? •Yes •No
Please explain:
30. Have (with respect to a West Palm Beach Florida car accident) you ever been sued by anyone for personal injury or death? •Yes •No
31. Have (with respect to a West Palm Beach Florida car accident) you ever been a witness at trial or by deposition? •Yes •No
Please explain:
32. Have (with respect to a West Palm Beach Florida car accident) you ever served on a jury? •Yes •No
If yes, briefly explain the case, the verdict, and the amount of the award, if any:
33. Are civil juries in lawsuits fair, or do they generally award too much or too little money?
34. What is the largest civil jury verdict, in terms of amount of dollars awarded for personal injury, that you Have (with respect to a West Palm Beach Florida car accident) ever heard about?
a. Do you believe this was a fair verdict or the jury gave too much?

35. Do you support legislative efforts to place limits on the amounts jurors can award in civil damages cases? •Yes •No
36. Do you favor legitimate efforts to limit the amount a client must pay to a lawyer representing him or her in a personal injury case? •Yes •No
37. Is there any reason why any past experience in your life might influence your thinking in a case where someone is suing for personal injury? •Yes •No
Please explain:
38. Under what circumstances would you render a verdict to an injured person for several million dollars? (If none, write “none”)

39. Do you consider yourself a leader or a follower?
40. Do you understand that the proceedings tonight are confidential? •Yes •No
41. Do you agree not to discuss this case with anyone once you leave this building? •Yes •No