1

United States v. Koubriti:

Jury Questionnaire

Hon. Gerald E. Rosen

Eastern District of Michigan

March 18, 2003

The following questionnaire was prepared to facilitate jury selection in a high- profile prosecution of suspected terrorists, United States v. Koubriti, No. 2:01-cr- 80778 (E.D. Mich. Sept. 27, 2001).

Cover Letter

21 February 2003

Dear Jurors,

The furnishing of information on this questionnaire is designed to expedite 

the jury-selection process in this case. If you have any inquiries concerning any

particular question, please ask the Court and it will be explained to you. Most of

the questions ask you to simply answer “yes” or “no” and sometimes to explain

your answers further in the space provided. If you need more space to answer the

question, use the blank “Explanation Sheet” at the end of the questionnaire.

The Court is aware that some of the questions contained in this questionnaire 

are of a somewhat personal nature. Nonetheless, the Court must ensure that the

jury that hears this case can be completely fair to both sides and that both sides

have sufficient information about each juror’s background and experiences that

they can feel comfortable that a fair and impartial jury will hear this case. Please

be completely frank and candid in responding to this questionnaire. Please do

not discuss the questionnaire or your answers, or any issues raised by the

questionnaire, with anyone, including family members or friends. It is very

important that the answers be yours and yours alone. Remember that there are no

“right” or “wrong” answers—only truthful answers. You are sworn to give true

and complete answers to all questions.

Your answers will not become public and, indeed, the Court and parties will

not even know your name. Selecting an anonymous jury is not an unusual practice and has been followed in many cases in Federal Court. Anonymity will ward

off curiosity that might infringe on a juror’s privacy. Please write only your juror number, and not your name, on the first page of the questionnaire.

I appreciate your time and dedication in assisting the Court in the administration of justice.

Gerald E. Rosen

United States District Judge
United States v. Koubriti: Jury Questionnaire

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Jury Questionnaire

A. Case Information

1. The Court and the parties estimate that after a jury is selected this case will

last approximately 4 to 6 weeks. It is anticipated that the jury in this case will 

be sitting 4 days per week: Monday, Tuesday, Wednesday, and Friday, 9:00

a.m. to 5:00 p.m. If, however, it becomes necessary, we may have to sit 5

days per week. Jury service is one of the highest duties and privileges of a

citizen. Mere inconvenience or the usual financial hardships of jury service

will be insufficient to excuse a prospective juror. Do you wish to apply to the 

Court to be excused on the ground that jury service in this case would be an

extreme hardship? _____________ Yes ____________ No

If yes, briefly explain the hardship:

(Note: If the hardship claimed is financial, please do not name your employer, but merely describe in general terms the nature of the situation.) _____________________________________________________________

_____________________________________________________________

_____________________________________________________________

2. The Government is represented in this case by the United States Attorney, Jeffrey Collins, though the conduct of the case is in the immediate charge of

the Government attorneys appearing in the courtroom. Do you or does any

relative or close friend of yours know or have any connection with Jeffrey 

Collins? _____________ Yes ____________ No

3. Do you or does any relative or close friend of yours know or have any connection with any of the following persons who will be seated at the counsel

table for the Government?

Assistant United States Attorney Richard G. Convertino ____ Yes __ No

Assistant United States Attorney Keith E. Corbett ____ Yes __ No

FBI Special Agent Michael Thomas ____ Yes __ No

(a) Have you seen, heard, or read anything about any of these individuals? 

This includes not only from the media, but also anything you may have

heard from friends, relatives, or co-workers. _____________ Yes ____________ No

(b) If yes, what have you seen, heard, or read? _______________________

_________________________________________________________

_________________________________________________________
United States v. Koubriti: Jury Questionnaire

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4. (a) Do you or does any relative or close friend of yours know or have any

connection with any of the defendants?

Karim Koubriti ______ Yes ______ No 

Ahmed Hannan ______ Yes ______ No 

Abdel-Ilah Elmardoudi

a/k/a Abdella

a/k/a Nassim Hillali

a/k/a Hussein Mohsen Safiddine

a/k/a Abdelilah El Mardoudi

a/k/a Abdell Illah Naji

a/k/a Nelson R. Feliciano

a/k/a Nelson Rafael Feliciano Vargas

a/k/a Nelson R. Feliciano Vargas

a/k/a Nelson R. Falecian

a/k/a Jean Pierre Tardelli

a/k/a George Labibe

a/k/a Hussein Mohsen Safiddine

a/k/a Nabit Hayamm ______ Yes ______ No 

Farouk Ali-Haimoud

a/k/a Khalid ______ Yes ______ No

(b) Have you seen, heard, or read anything about any of the defendants?

This includes not only the media, but anything you may have heard

from friends, relatives, or co-workers. _____________ Yes ____________ No

(c) If yes, what have you seen, heard, or read? _____________________

________________________________________________________

________________________________________________________
United States v. Koubriti: Jury Questionnaire

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5. (a) Do you or any relative or close friend of yours know of, or have any

connection with, any of the following defense lawyers or their staffs? 

Attorneys

Richard M. Helfrick ______ Yes ______ No 

Leroy T. Soles ______ Yes ______ No 

James C. Thomas ______ Yes ______ No 

Robert M. Morgan ______ Yes ______ No 

William W. Swor ______ Yes ______ No 

Kevin S. Ernst ______ Yes ______ No 

Heather L. Bendure ______ Yes ______ No 

Stephen T. Rabaut ______ Yes ______ No 

Private Investigators

David Gentry ______ Yes ______ No 

Suzanne Zanon ______ Yes ______ No 

Huntington Research Associates ______ Yes ______ No 

Interpreters

Nazih Moakiel ______ Yes ______ No 

Frank Nalu ______ Yes ______ No 

Alex Daghestani ______ Yes ______ No 

Elsayed Ibrahim ______ Yes ______ No 

El Sayed Mostafa ______ Yes ______ No 

David Habboo ______ Yes ______ No 

Salim Mansour Habboo ______ Yes ______ No 

Bassani Shamurad ______ Yes ______ No 

Access Languages ______ Yes ______ No 

If you answered “yes” to any of the names above, describe your connection with these individuals: _______________________________

________________________________________________________

________________________________________________________

(b) Have you seen, heard, or read anything about these attorneys or the

members of their staffs? This includes not only from the media, but also anything you may have heard from friends, relatives, or co-workers. _____________ Yes ____________ No

(c) If yes, what have you seen, heard, or read? _____________________

________________________________________________________

________________________________________________________
United States v. Koubriti: Jury Questionnaire

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6. (a) Do you or any relative or close friend of yours know of or have any

connection with any of the individuals listed on “Attachment A” [omitted] who may be a witness or who may be mentioned at trial? _____________ Yes ____________ No

(b) If you have any such connection with any of the individuals on Attachment A, please list the individual’s name here and explain the connection. (If you need extra space, use the “Explanation Sheet” at the

end of this questionnaire.) ________________________________________________________

________________________________________________________

________________________________________________________

________________________________________________________

________________________________________________________

________________________________________________________

________________________________________________________

________________________________________________________

(c) Have you seen, heard, or read anything about these individuals? This

includes not only from the media, but also anything you may have

heard from friends, relatives, or co-workers. _____________ Yes ____________ No

(d) If yes, what have you seen, heard, or read? _____________________

________________________________________________________

________________________________________________________

________________________________________________________

7. This case is about allegations of fraud and misuse of visas, permits, and other 

identification documents, and providing material support or resources to terrorists. Have you read, seen, or heard anything about this case? _____________ Yes ____________ No

If yes, what was the source of the information (radio, TV, newspaper, etc.)? ____________________________________________________________

_____________________________________________________________

8. If you have seen, heard, or read something about this case, any of the defendants or attorneys, or witnesses, is there anything about what you have heard, 

seen, or read that would prevent you from rendering a fair and impartial verdict based solely on the evidence presented in court? _____________ Yes ____________ No
United States v. Koubriti: Jury Questionnaire

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9. The judge who will preside over this case is the Honorable Gerald E. Rosen

of the United States District Court for the Eastern District of Michigan. The

members of Judge Rosen’s staff are: Donna Vinson, Sara Fischer-Hodges, 

Linda Hylenski, Jim Lewis, and Carol Sapala. Do you or any of your relatives or close friends know or have any connection with Judge Rosen or any

of his staff? _____________ Yes ____________ No

If yes, please explain. ___________________________________________

_____________________________________________________________

_____________________________________________________________ B. Personal and Family Information

10. Your juror number: _________

11. Your age: ________

12. Your sex: _______Male ________ Female

13. Address information:

a. City or township where you live: _____________________________

b. Number of years there: _____________________________________

c. Do you own _______ rent _______ or live with others? _______

d. City or town and state where you grew up: ______________________

14. Your present marital status: ________ Married ________ Single (never married) ________ Widowed ________ Separated or divorced

15. Are you, your spouse, or a former spouse a naturalized U.S. citizen? _____________ Yes ____________ No

If yes, please state who and when they became a citizen. _______________

_____________________________________________________________

16. Where were your parents born?

Mother ________________________________________ Father _________________________________________
United States v. Koubriti: Jury Questionnaire

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17. Are your parents, in-laws, or grandparents naturalized U.S. citizens? _____________ Yes ____________ No

If yes, please state your relationship to each person (e.g., “mother-in-law”) 

and when (if you know) he or she became a citizen. ___________________

_____________________________________________________________

_____________________________________________________________

18. Have you ever known anyone from another country who worked in the United States and had to have a green card or permit to continue working here? _____________ Yes ____________ No

If yes, please explain. ___________________________________________

_____________________________________________________________

_____________________________________________________________

19. Do you have any friends or relatives who live on Riverside in Dearborn, or

on Norman Street in Detroit? _____________ Yes ____________ No

If yes, who are these friends/relatives? _____________________________

_____________________________________________________________

_____________________________________________________________

20. (a) How many years have you lived in Southeast Michigan? __________

(b) Have you ever lived outside of the United States? If so, where? _____

________________________________________________________

21. Do you have children? _______ If yes, state the age of each child. ____________________________________________________________

_____________________________________________________________

_____________________________________________________________

22. Do you have any physical problems or disabilities involving high blood pressure, hearing or vision loss, stomach ailments, headaches, back, hip or neck

problems, or any other health problems that might interfere with your ability

to serve as a juror or may cause you difficulty in hearing, seeing, or understanding evidence in a trial? Please explain. _____________________________________________________________

_____________________________________________________________

_____________________________________________________________
United States v. Koubriti: Jury Questionnaire

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(a) Do you have any specific problems dealing with stress or pressure? _____________ Yes ____________ No

If yes, please explain. _____________________________________

________________________________________________________

________________________________________________________

(b) Have you ever had any psychological therapy or counseling? _____________ Yes ____________ No

If yes, please explain. ______________________________________

________________________________________________________

________________________________________________________

(c) Have you ever been under a doctor’s care for any of the following:

(1) Mental problems, including mood disorders

 ______ Yes _______ No 

(2) Alcohol-related problems

 ______ Yes _______ No 

(3) Drug-related problems

 ______ Yes _______ No 

If you answered “yes” to 22(c)(1), (2), or (3), please explain. ____________

_____________________________________________________________

_____________________________________________________________

23. Are you taking any medication that might interfere with your ability to serve

as a juror? If so, please explain. ___________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

24. Do you have any difficulty reading or understanding English? _____________ Yes ____________ No

25. Do you have a vacation scheduled for which you have prepaid or made a financial commitment? If so, please explain. __________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________
United States v. Koubriti: Jury Questionnaire

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26. How far would you have to travel each day to attend trial? ______ miles one way.

B. Education

27. What is the highest grade that you completed in school? Circle the appropriate answer:

1–7 8 9 10 11 12

College: 1 yr. 2 yrs. 3 yrs. 4 yrs.

Vocational/technical school: 1 yr. 2 yrs. 3 yrs. 4 yrs.

Graduate/professional school—specify: ____________________________

28. If you did not graduate from high school, did you obtain a G.E.D.? _____________ Yes ____________ No

29. If you continued your education beyond high school, what was (were) your

major area(s) of study? __________________________________________

_____________________________________________________________

_____________________________________________________________

30. What degrees have you earned? ___________________________________

_____________________________________________________________ C. Employment

31. Are you the sole source of income for your immediate family? _____________ Yes ____________ No

32. If you are not employed, are you: ______ a student: 

Where do you attend school? ________________________ How many days per week? __________________________

______ a homemaker ______ between jobs ______ disabled

______ retired
United States v. Koubriti: Jury Questionnaire

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33. If you are now employed, please describe your job (do not name your employer):

Job description: _______________________________________________ Years in this job: ______________________________________________

34. If you have not been employed with your current employer for more than one 

year, please describe your last job prior to your current job:

Job description: _______________________________________________ Years in this previous job: _______________________________________

35. If you are married, please describe your spouse’s current job:

Job description: _______________________________________________ Years in this job: ______________________________________________

36. If you have children who are now employed, please describe their current

job(s):

Job description Years in this job

37. Do you have any relatives or close friends who are employed by Detroit Metropolitan Airport or LSG Sky Chefs ? _____________ Yes ____________ No

If yes, please explain. ___________________________________________

_____________________________________________________________

_____________________________________________________________
United States v. Koubriti: Jury Questionnaire

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D. Other Personal/Family Information

38. Have you or any member of your immediate family ever served in the military (including the National Guard and the military reserves)? _____________ Yes ____________ No

Please describe the nature of any such military service by you or any member 

of your immediate family, including the dates of service, branch of the military, rank, and duties. ___________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

39. If any members of your family are currently in the military, are any of them

currently deployed/stationed overseas? If yes, please explain. ___________

_____________________________________________________________

_____________________________________________________________

40. If you or a member of your family served in the military, were they ever in a

combat situation?

Yes _____ No _____ Don’t know 

If yes, please state where and when. _______________________________

_____________________________________________________________

_____________________________________________________________

41. Did you or any member of your family serve in “Desert Storm”? If yes, please explain. ________________________________________________

_____________________________________________________________

_____________________________________________________________

42. Do you have any relatives or close friends in the military who are currently 

or were formerly stationed in Afghanistan or elsewhere in the Middle East? _____________ Yes ____________ No

If yes, where is or was that person stationed? ________________________

_____________________________________________________________

_____________________________________________________________

43. Have any relatives or close friends been injured or killed while serving in a

combat or military zone in Afghanistan or elsewhere in the Middle East? _____________ Yes ____________ No
United States v. Koubriti: Jury Questionnaire

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44. Have you or any members of your family had any experience in military or

civilian intelligence? _____________ Yes ____________ No

If yes, please explain. ___________________________________________

_____________________________________________________________

_____________________________________________________________

45. Were you or any members of your family ever involved in a court martial? _____________ Yes ____________ No

If yes, please explain. ___________________________________________

_____________________________________________________________

_____________________________________________________________

46. Do you or did you have family members or close friends who were the victims of terrorism in this country or abroad? If yes, please explain. ________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

47. Have you or any relative or close friend of yours been to “Ground Zero,” the

site of the World Trade Center, since September 11, 2001? _____________ Yes ____________ No

48. Have you or anyone close to you altered your travel plans since September 

11, 2001? _____________ Yes ____________ No

49. Is there anything in particular about a case involving a charge of terrorism

that would make it difficult for you to serve as a fair and impartial juror in

this case? _____________ Yes ____________ No
United States v. Koubriti: Jury Questionnaire

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50. If you answered any of the questions 47 through 49 “yes,” please explain. _____________________________________________________________

_____________________________________________________________

_____________________________________________________________ E. Media

51. Do you or your family regularly subscribe to any magazines or newspapers? _____________ Yes ____________ No

If yes, please list the magazines and newspapers you or your family have

subscribed to in the last five years. ________________________________

_____________________________________________________________

_____________________________________________________________

52. Do you read a newspaper regularly (at least two or three times a week)? _____________ Yes ____________ No

If yes, list the names of the newspapers you read and indicate how often you

read each newspaper.

Name of 

paper

Once a 

week

2–3 times 

a week

More than 

4x a week Daily

Sunday 

only

53. Do you regularly read magazines? _____________ Yes ____________ No

If so, please list the magazine titles that you read when you have the opportunity. _______________________________________________________

_____________________________________________________________

54. What types of books do you like to read? ___________________________

_____________________________________________________________

_____________________________________________________________

55. List the last three books that you have read. _________________________

_____________________________________________________________

56. What kinds of movies do you like? ________________________________

_____________________________________________________________
United States v. Koubriti: Jury Questionnaire

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57. Do you watch any television newscasts, including cable newscasts, on a

regular basis?_____________ Yes ____________ No

If yes, which ones? _____________________________________________

_____________________________________________________________

58. Do you listen to any radio stations on a regular basis? _____________ Yes ____________ No

If yes, which ones? _____________________________________________

_____________________________________________________________

59. This case may receive media attention. The Court wants to make sure that

this case is decided solely on the evidence presented in the courtroom and not 

based on things that are said outside the courtroom. Accordingly, the Court

will be advising you periodically that you must avoid reading about the case

in the newspapers or on the Internet, or listening to any radio or television

reports about the case. The Court will also advise you periodically that you

must avoid discussing this case with friends or family during the course of

the trial. Would these requirements pose any difficulty for you? _____________ Yes ____________ No

F. Leisure Activities

60. Do you have any hobbies? _____________ Yes ____________ No

If yes, please describe them. ______________________________________

_____________________________________________________________

_____________________________________________________________

61. What activities do you particularly enjoy if you have leisure time available? _____________________________________________________________

_____________________________________________________________

_____________________________________________________________
United States v. Koubriti: Jury Questionnaire

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62. Do you own or regularly use a computer? _____________ Yes ____________ No

If yes:

(a) Explain your use of the computer. ____________________________

________________________________________________________

________________________________________________________

(b) What Internet websites do you regularly access? _________________

________________________________________________________

________________________________________________________ G. Associations/Affiliations

63. Do you belong to a union, professional organization, religious organization, 

social or fraternal organization or society, or civic club? _____________ Yes ____________ No

If so, please state the general nature of any such organization(s) (e.g., union, 

service club, PTA, etc.). _________________________________________

_____________________________________________________________

_____________________________________________________________

64. Do you have a religious preference? _____________ Yes ____________ No

If yes, please state the name of the church, temple, synagogue, mosque, or

other religious organization with which you are affiliated. ______________

_____________________________________________________________

_____________________________________________________________

65. How often do you attend religious services? _________________________

_____________________________________________________________

66. Do you participate in other religious activities? _____________ Yes ____________ No

If yes, please describe. __________________________________________

_____________________________________________________________
United States v. Koubriti: Jury Questionnaire

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67. Have you ever experienced what you believe to be discrimination against you 

because of your religious beliefs? _____________ Yes ____________ No

If yes, please explain. ___________________________________________

_____________________________________________________________

_____________________________________________________________

68. Do you know anyone who practices the Muslim or Islamic faith? _____________ Yes ____________ No

69. Do you have any feelings, positive or negative, about the Muslim or Islamic 

faith? Please explain. ___________________________________________

_____________________________________________________________

_____________________________________________________________

70. How knowledgeable are you about the history or practices of the Muslim or

Islamic faith? ______ very knowledgeable ______ somewhat knowledgeable ______ not too knowledgeable ______ not knowledgeable at all

71. Is there anything about a case where all the defendants are Muslim (which

means they practice Islam) that would make it hard for you to serve as a juror? _____________ Yes ____________ No

If yes, please explain. ___________________________________________

_____________________________________________________________

_____________________________________________________________

72. Have you ever heard the word “Jihad”? _____________ Yes ____________ No

If yes, what does it mean to you? __________________________________

_____________________________________________________________

73. Do you contribute services or money to any charitable organization? If so, please describe. _______________________________________________

_____________________________________________________________
United States v. Koubriti: Jury Questionnaire

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74. Have you ever contributed money to an organization that opposes immigration, or opposes certain rights to immigrants, or proposes changes to the immigration laws?_____________ Yes ____________ No

If yes, please explain. ___________________________________________

_____________________________________________________________

_____________________________________________________________ H. Foreign Nationals

75. (a) Do you speak Arabic (or any dialect of Arabic) or did you grow up in

households where the Arabic language or any of its dialects were spoken? _____________ Yes ____________ No

(b) Do you read any Arabic language newspapers or publications? _____________ Yes ____________ No

If yes, please list the Arabic language newspapers or publications. ___

________________________________________________________

________________________________________________________

(c) Do you watch any Arabic language television programs, including

newscasts? _____________ Yes ____________ No

If yes, please list these programs/newscasts. ____________________

________________________________________________________

________________________________________________________

(d) If you speak, read, or understand the Arabic language (or any of its dialects), would you have any difficulty relying upon the official interpreter’s translation of testimony and witnesses’ translations of Arabic language evidence? _____________ Yes ____________ No

(e) What other languages, if any, do you speak or understand? _________

________________________________________________________

________________________________________________________
United States v. Koubriti: Jury Questionnaire

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76. Are you familiar with the culture, politics, or economy of any of the countries in the Middle East? If so, please explain. ________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

77. The defendants in this case are of Moroccan, Algerian, Arabic, or Middle

Eastern descent.

(a) Are you, or any of your relatives or close friends, of Moroccan, Algerian, Arabic, or Middle Eastern descent? _____________ Yes ____________ No

(b) Do you work, or have you worked, with persons of Moroccan, Algerian, Arabic, or Middle Eastern descent? _____________ Yes ____________ No

(c) Do you socialize with any people of Moroccan, Algerian, Arabic, or

Middle Eastern descent? _____________ Yes ____________ No

(d) Do you have an initial reaction when learning that a person is of Arabic 

nationality or Middle Eastern origin ? _____________ Yes ____________ No

If you answered “yes” to (a), (b), (c), or (d), please explain. _____________

_____________________________________________________________

_____________________________________________________________

78. Have you had, or do you know of any relative or friend who has had any

dealings with the Arab Community Center for Economic and Social Services 

(ACCESS)? _____________ Yes ____________ No

If yes, please explain. ___________________________________________

_____________________________________________________________

_____________________________________________________________
United States v. Koubriti: Jury Questionnaire

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79. Have you worked in, traveled in, read about, or formed impressions or opinions about any of the following countries?

Morocco Afghanistan Saudi Arabia

Algeria Yemen Egypt

Jordan Iraq Arab Emirates

Turkey Iran Israel

Syria Sudan Palestine

Kuwait Libya _____________ Yes ____________ No

If yes, please explain. (Use the Explanation Sheet at the end of the questionnaire if necessary.) _____________________________________________

_____________________________________________________________

_____________________________________________________________

I. Law/Law Enforcement

80. Have you ever served as a juror? _____________ Yes ____________ No

If yes, please list below: (1) the approximate date(s); (2) whether it was in a

state or federal court; (3) whether it was a criminal or civil case; (4) the general nature of the case (e.g., robbery, murder, negligence, medical malpractice, breach of contract, etc.); (5) whether a verdict was reached; and (6) if a

verdict was reached, what was the verdict?

Date

State or 

federal 

court

Criminal 

or civil 

case

Nature of 

case

Was there 

a verdict?

What 

was the 

verdict?

81. Have you ever served as a grand juror? _____________ Yes ____________ No
United States v. Koubriti: Jury Questionnaire

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82. Have you or any close friends or relatives had any education or training in

the law? _____________ Yes ____________ No

If yes, please explain. ___________________________________________

_____________________________________________________________

_____________________________________________________________

83. Have you or any member of your family every worked in any law-related 

profession (e.g., attorney, paralegal, legal assistant, legal secretary, clerk, etc.)? _____________ Yes ____________ No

If yes, please explain. ___________________________________________

_____________________________________________________________

_____________________________________________________________

84. Have you ever been employed by, connected with, or applied for a job in law 

enforcement? _____________ Yes ____________ No

If yes, please explain. ___________________________________________

_____________________________________________________________

_____________________________________________________________

85. Have any family members every been employed in law enforcement? _____________ Yes ____________ No

If yes, please explain. ___________________________________________

_____________________________________________________________

_____________________________________________________________

86. Do you know anyone who has been connected with the criminal justice system such as: judges, law clerks, court attendants, court clerks, other types of

court personnel, probation officers, or persons connected with any penal institution, jail, or penitentiary? _____________ Yes ____________ No

If yes, please explain. ___________________________________________

_____________________________________________________________

_____________________________________________________________
United States v. Koubriti: Jury Questionnaire

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87. Do you belong to or associate with any groups that have crime prevention or 

law enforcement as a goal? _____________ Yes ____________ No

If yes, please explain. ___________________________________________

_____________________________________________________________

_____________________________________________________________

88. Are you a member or supporter of any group that is either for or against gun

control (such as the National Rifle Association)? _____________ Yes ____________ No

If yes, please list the organizations. ________________________________

_____________________________________________________________

89. Do you or anyone in your house own any firearms? _____________ Yes ____________ No

If yes, what type and for what purpose? _____________________________

_____________________________________________________________ Note: In the following questions, the Court is not looking to pry into the past history of jurors or their families but wants to be informed as to what experiences 

each juror (or their loved ones) has gone through in order to determine whether

these prior experiences might color the juror’s perceptions of how the criminal

justice system works. Thus, the following questions must be answered fully and

candidly to ensure that the Court, and the parties, can make a proper determination of whether jurors would be particularly suited for this case. Please do not

feel embarrassed about any question, because the answers will be strictly confidential.

90. Have you or anyone close to you ever been charged with a crime or been the

subject of a criminal investigation? _____________ Yes ____________ No

If yes, please explain. ___________________________________________

_____________________________________________________________

_____________________________________________________________
United States v. Koubriti: Jury Questionnaire

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91. Have you ever appeared or testified as a witness in any investigation or legal 

proceeding? _____________ Yes ____________ No

If yes, please explain. ___________________________________________

_____________________________________________________________

_____________________________________________________________

92. Are you, or anyone close to you, now under subpoena or, to your knowledge, 

about to be subpoenaed in any criminal case? _____________ Yes ____________ No

If yes, please explain. ___________________________________________

_____________________________________________________________

_____________________________________________________________

93. Have you ever been questioned in any matter by the state or local police, any

state or local law enforcement agency, or by the Department of Justice or an

United States investigative agency such as the FBI, Drug Enforcement Administration (DEA), Internal Revenue Service (IRS), Immigration and Naturalization Service (INS), or Customs Service ? _____________ Yes ____________ No

If yes, please explain. ___________________________________________

_____________________________________________________________

_____________________________________________________________

94. Have you ever been involved in, or do you expect to become involved in, any 

legal action or dispute with the United States or any agency, officer, or employee of the United States, or have you ever had any financial interest in

such a dispute?_____________ Yes ____________ No

If yes, please explain. ___________________________________________

_____________________________________________________________

_____________________________________________________________
United States v. Koubriti: Jury Questionnaire

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95. Have you or has any member of your family or a close friend ever been the

victim of crime? _____________ Yes ____________ No

If yes, please explain. ___________________________________________

_____________________________________________________________

_____________________________________________________________

96. Have you or has any member of your family or a close friend ever had any

identification stolen, such as a license, credit card, passport, or visa, or been

the victim of “identity theft”? _____________ Yes ____________ No

If yes, please explain. ___________________________________________

_____________________________________________________________

_____________________________________________________________

97. Have you or has any member of your family or a close friend ever been falsely accused of anything? _____________ Yes ____________ No

If yes, please explain. ___________________________________________

_____________________________________________________________

_____________________________________________________________

98. Do you tend to believe that a member of law enforcement, such as a police 

officer or a federal agent, who testifies in court is (circle one):

a. more likely to tell the truth than other witnesses

b. about as likely to tell the truth as other witnesses

c. less likely to tell the truth than other witnesses

99. You may hear testimony in this case concerning the use of informants and/or

cooperating witnesses by federal authorities in their investigations. One or

more of those individuals may be called to testify in this case and you may

learn that some of the individuals have participated in various crimes. Do you 

have any strong feelings about the government using informants and/or cooperating witnesses? _____________ Yes ____________ No

If yes, please explain. ___________________________________________

_____________________________________________________________

_____________________________________________________________
United States v. Koubriti: Jury Questionnaire

24

100. There may be evidence in this case about the activities of American and/or

foreign intelligence agencies. Do you have any strong feelings about

American intelligence services or foreign intelligence services? _____________ Yes ____________ No

If yes, please explain. _________________________________________

___________________________________________________________

___________________________________________________________

101. There may also be evidence seized pursuant to searches of various places, including the homes of some of the defendants. Do you have any feelings

about the use of lawfully conducted searches? _____________ Yes ____________ No

If yes, please explain. _________________________________________

___________________________________________________________

___________________________________________________________

102. To your knowledge, have you or any close friend or relative ever been the

subject of a surveillance (visual, photographic, or electronic) by law enforcement or had their car or home searched by law enforcement officers? _____________ Yes ____________ No

If yes, please explain. _________________________________________

___________________________________________________________

___________________________________________________________

103. Is there any matter not covered by this questionnaire that you feel you

should tell us about? _____________ Yes ____________ No

If yes, please explain. _________________________________________

___________________________________________________________

___________________________________________________________
United States v. Koubriti: Jury Questionnaire

25

Explanation Sheet