Screening Form

Thank you for your interest in participating in the Hodge Law Firm Jury Research Project. Please answer the following questions and click submit at the bottom. If you are selected, someone in our office will be in touch.

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Name *

First

Last

Phone *

Gender *

Male
Female

Occupation *

Spouse's Occupation

Are you a full-time student? *

Do you or anyone you know well work in law enforcement, the legal profession, or the justice system (the courts)? *

Do you or anyone you know well work for a radio or TV station, newspaper, magazine, or any other news organization? *

Race/Ethnicity: *

Caucasian (white)
Asian
Native American Indian
African-American
Chicano
Other

Highest level of education: *

High School
College - Associates
College - Bachelors
College - Masters
College - Doctorate
Specialized Training
Other

If specialized training or other, please explain. *

Household Income Level: *

$0-$20,000
$20,001-$65,000
$65,001-$85,000
Over $85,001

Have you ever served on a jury? *

Can you read and write without assistance? *

Are you currently called for jury duty? *

Spartanburg Office

951 East Main Street
Spartanburg, SC 29302