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Case 1:20-cr-00330-PAE UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK UNITED STATES OF AMERICA -v- GHISLAINE MAXWELL, Defendant. Juror ID: 20 Cr. 330 (AJN) JURY QUESTIONNAIRE PRELIMINARY INSTRUCTIONS Please read the following instructions carefully before completing any portion of this questionnaire. Please print your juror number in the space provided at the top of each page. Do not write your name on the questionnaire. If you have more than one part, you are sworn to give true and complete answers to all questions in this part. YOU ARE SWORN TO GIVE TRUE AND COMPLETE ANSWERS TO ALL QUESTIONS IN THIS PART. This questionnaire is designed to help simplify and shorten the jury selection process. The purpose of the questionnaire is to determine whether prospective jurors can decide this case impartially based upon the evidence presented at trial based on the legal instructions given by the presiding judge. Although some of the questions may appear to be of a personal nature, please understand that the Court and the parties must learn enough information about each juror's background and experience to select a fair and impartial jury. Please answer all questions to the best of your ability. If you do not know the answer to a question, then write 'I don't know.' There are no 'right' or 'wrong' answers, only truthful answers. Although you may or may not be the right case for you to hear your answers and complete answers to all questions. Do not discuss the case with anyone. You are sworn to give true and complete answers to all questions. If you need extra space to answer any question, please use the extra blank sheets of paper included at the end of the questionnaire. Be sure to indicate the number of the question you are answering. Do not write anything on the back of any page. DO NOT DISCUSS YOUR QUESTIONS AND ANSWERS OR THE CASE WITH ANYONE, NOW OR UNTIL FURTHER INSTRUCTED BY THE COURT. It is very important that your answers be your own individual answers. More broadly, do not discuss the case with anyone, including the lawyers. Filed 10/22/21 -1- DOJ-OGR-00005323