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Online Jury Verdict

Fill out the following in order to render your verdict. Fields with (*) are required.

* Which way are you leaning as to who whould "win" this case?
The Plaintiff, Ms. Doe
The Defendant, Dr. Blank

* Do you believe that Dr. Blank was negligent in his medical care of Ms Doe?
Yes
No

* Do you believe that Ms Doe’s death and/or prolonged condition was a result of Dr. Blank’s negligence?
Yes
No

* If you believe that Dr. Blank was negligent, do you think that Ms Doe deserves to be compensated?
Yes
No

* What is the total amount, if anything, that you would award to Ms. Doe?

* How much, if anything, would you award to Ms. Doe for medical costs?

* How much, if anything, would you award to Ms. Doe for pain and suffering?

* How much, if anything, would you award for lost earnings?

* How much, if anything, would you award for wrongful death?

* Please explain the reasons for your decision:

* What did you feel were the strongest arguments in the case?

What is your gender?
Male
Female

What is your race?
Caucasian
Black
Hispanic
Asian
Other

What is your age?

What is your level of education?
Did not graduate high school
High school graduate
Some college or tech school training
Associates degree
Bachelors degree
Post-graduate degree

What is your family income level?
Under $15,000
$15,000 to $25,000
$25,000 to $40,000
$40,000 to $60,000
$60,000 to $80,000
$80,000 to $100,000
over $100,000

If employed, what kind of job do you have?

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Northern Virginia: (571) 970-3317 office@paulsonlaw.net
American Association for Justice
People Over Profits
The Pound Civil Justice Institute
Center For Justice And Democracy
State Trial Lawyer Associations
American Bar Association
State Bar Associations
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