EXHIBIT H 

Case 3:17-cv-00600-LB Document 120-8 Filed 09/06/19 Page 1 of 6
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 Case No. 3:17-cv-00600-LB

PLAINTIFF’S PROPOSED JURY QUESTIONNAIRE OR, IN THE ALTERNATIVE, VOIR DIRE QUESTIONS 

MIRIAM KIM (State Bar No. 238230) 

miriam.kim@mto.com 

EMILY C. CURRAN-HUBERTY (State Bar No. 293065) 

emily.curran-huberty@mto.com 

SKYLAR D. BROOKS (State Bar No. 310707) 

skylar.brooks@mto.com 

MUNGER, TOLLES & OLSON LLP 

560 Mission Street 

Twenty-Seventh Floor 

San Francisco, California 94105-2907 

Telephone: (415) 512-4000 

Facsimile: (415) 512-4077 

Attorneys for Plaintiff 

RENEE LEPAGE 

UNITED STATES DISTRICT COURT 

NORTHERN DISTRICT OF CALIFORNIA, SAN FRANCISCO DIVISION 

RENEE LEPAGE, an individual, 

Plaintiff, 

vs. 

COUNTY OF NAPA; COUNTY OF NAPA 

SHERIFF’S DEPARTMENT; AND DEPUTY 

TIMOTHY REID, 

Defendants. 

 Case No. 3:17-cv-00600-LB 

PLAINTIFF’S PROPOSED JURY 

QUESTIONNAIRE OR, IN THE 

ALTERNATIVE, VOIR DIRE 

QUESTIONS 

 

Case 3:17-cv-00600-LB Document 120-8 Filed 09/06/19 Page 2 of 6
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 -2- Case No. 3:17-cv-00600-LB

PLAINTIFF’S PROPOSED JURY QUESTIONNAIRE OR, IN THE ALTERNATIVE, VOIR DIRE QUESTIONS 

 Pursuant to the Case Management and Pretrial Order (Jury), Dkt. No. 31, Plaintiff Renee 

LePage proposes the attached jury questionnaire, which is similar to the Court’s standard jury 

questionnaire. The proposed questionnaire omits only three questions that appear in the Court’s 

standard questionnaire and adds three additional questions that do not appear in the Court’s 

standard questionnaire. See Questionnaire Nos. 12-14. To the extent the Court decides not to 

include one or more of Ms. LePage’s proposed questions in a jury questionnaire, Ms. LePage 

respectfully requests that the questions be asked during voir dire but still distributed to the jurors 

in writing to facilitate an efficient voir dire. 

DATED: September 6, 2019 MUNGER, TOLLES & OLSON LLP 

By: /s/ Miriam Kim 

 MIRIAM KIM 

Attorneys for Plaintiff 

RENEE LEPAGE 

Case 3:17-cv-00600-LB Document 120-8 Filed 09/06/19 Page 3 of 6
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 -3- Case No. 3:17-cv-00600-LB

PLAINTIFF’S PROPOSED JURY QUESTIONNAIRE OR, IN THE ALTERNATIVE, VOIR DIRE QUESTIONS 

CONFIDENTIAL 

JUROR QUESTIONNAIRE 

Please fill out this form as completely as possible and print clearly. Do not write on the 

back of any page. Instead, if you need more room, use the space at the end. Thank you. 

1. Your name: 

2. City in which you reside: 

3. Your place of birth: 

4. Are you married or do you have a domestic partner? ____Yes ____ No 

5. Please list the occupation of your spouse or domestic partner. 

6. If you have children, please list their ages and sex and, if they are employed, please give 

their occupations. 

7. What is your occupation and how long have you worked in it? (If you are retired, please 

describe your main occupation when you were working). 

8. Who is (or was) your employer? 

9. How long have you worked for this employer? 

10. Please describe your education background: 

 Highest grade completed: 

 College and/or vocational schools you have attended: 

 

 

 Major areas of study: 

11. Have you ever had jury experience? ______ Number of times? ______ 

If yes: State/County Court ______ Federal Court ______ 

When? ______________________Was it a civil or criminal case? 

Did any of the juries reach a verdict? ______Yes ______No 

 

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 -4- Case No. 3:17-cv-00600-LB

PLAINTIFF’S PROPOSED JURY QUESTIONNAIRE OR, IN THE ALTERNATIVE, VOIR DIRE QUESTIONS 

12. Have you, any relatives, close friends, or neighbors had any education, training, or work or 

volunteer experience in law enforcement? (“Law enforcement” includes any police or 

sheriff’s department, state police, highway patrol, jail or prison, military police, FBI, DEA, 

CIA, U.S. Marshal, prosecutor’s office, or any other law enforcement agency.) 

______Yes ______No 

If you answered YES, please explain. 

13. Do you know anyone who has ever been employed by the County of Napa, including the 

Napa County Sheriff’s Office? ______Yes ______No 

If you answered YES, please explain. 

14. Have you ever had any experience with, or do you have any connection with, any of the 

individuals or entities named below? (Check all that apply and please provide details after 

the name of the individual or entity.) 

Parties Please Explain Connection

____ Renee LePage 

____ Timothy Conrad Reid 

____ County of Napa 

____ Napa County Sheriff’s Department 

Law Firms Please Explain Connection 

____ Munger, Tolles, & Olson LLP 

____ Allen, Glaessner, Hazelwood & Werth LLP 

 

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 -5- Case No. 3:17-cv-00600-LB

PLAINTIFF’S PROPOSED JURY QUESTIONNAIRE OR, IN THE ALTERNATIVE, VOIR DIRE QUESTIONS 

Lawyers Please Explain Connection

____ Dale Allen 

____ Skylar Brooks 

____ Emily Curran-Huberty 

____ Phillip Downs 

____ Miriam Kim 

Potential Witnesses Please Explain Connection 

____ James Chen 

____ Cullen Dodd 

____ Molly Hendry 

____ Michael Jarecki 

____ Eric Madsen 

____ Thomas Mampalam 

____ Jeff Matlock 

____ Nicole Noonan-Miller 

____ Geoffrey Rochester 

Case 3:17-cv-00600-LB Document 120-8 Filed 09/06/19 Page 6 of 6