EXAMINATION BY THE COURT
I will now ask you a number of questions to determine your qualifications to serve as jurors in this case. To determine your qualifications I will need to obtain information from each of you, including some personal information. The purpose of these questions is to obtain a fair jury and it is not to embarrass you. If any of my questions should touch on sensitive subjects that you do not want to have heard by everyone present, you should tell me, and you can then come forward so that we can discuss those matters privately.
1. Do you reside in [Name of County] County?
2. The attorney(s) for the State is/are [Name the Attorney(s)]. Do any of you know the attorney(s) for the State? Has the District Attorney's office handled any matter for any of you?
3. The attorney(s) for [Name of Child] is/are [Name the Attorney(s)]. Do any of you know the attorney(s) for [Name of Child]? Has/Have the attorney(s) for [Name of Child] [or his/her law firm] represented you on any legal matter?
4. Do any of you know [Name of Child]?
5. Do/Did any of you know [Name the Alleged Victim(s)], or any member of his/her/their family?
6. The witnesses who may be called in this case are [Name the Witness(es)]: Do any of you know any of the witnesses, or any member of their families?
7. Have any of you read or heard the alleged facts of this case? Have you expressed or formed an opinion concerning this case? Would any information you have read or heard concerning this case influence your ability to hear or decide this case impartially? Have you discussed this case with anyone prior to today?
8. Have any of you had any experience that you feel might affect your consideration of this case?
9. Are you or is anyone in your immediate family employed or involved with a law enforcement agency or organization? Have you or has anyone in your immediate family been connected with law enforcement in the past? Do you hold or have you held a "Reserve Deputy Commission," a "Special Deputy Commission," or an "Honorary Deputy Commission"?
10. Have any of you ever been charged with or accused of a crime or a delinquent offense? Have any of your close friends or relatives ever been charged with or accused of a crime or a delinquent offense?
11. Have any of you ever been involved with the Department of Human Services or Juvenile Services?
12. Have any of you ever been victims of a crime? Have any of your close friends or relatives ever been victims of a crime?
13. I will instruct you on the law and the rules by which the jury reaches a verdict. Your duty as jurors is to accept and follow the law as included in the instructions and rules given to you by me. If selected as a juror, will each of you accept and follow the law as included in the instructions and rules that I will give to you?
One instruction I will give is that [Name of Child] is presumed innocent of the alleged offense, and the presumption continues unless after consideration of all the evidence you are convinced that [Name of Child] committed the offense beyond a reasonable doubt. The State has the burden of presenting the evidence that establishes the allegations of the petition beyond a reasonable doubt. [Name of Child] must be found not delinquent unless the State produces evidence which convinces you beyond a reasonable doubt of each element of the alleged offense. If selected as a juror, will each of you presume [Name of Child] innocent unless each element of the alleged offense is proven beyond a reasonable doubt?
14. Having been asked these questions, do any of you know at this time any reason why you could not be a fair and impartial juror? If so please raise your hand.
15. The court now requests that each of you give your name, your spouse's name if you are married, your occupation, your spouse's occupation, and the number of children you have. Please speak slowly and clearly. Let us begin with [Note: Indicate the juror who is to begin.]