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| C. Name of person being interviewed | | |
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| D. Plaintiff v. Defendant: | | |
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Interviewer: Read the following Confidentiality Statement to the respondent before proceeding:
Your participation in this survey is completely voluntary. You may choose to not answer any question or stop the survey at any time. Your answers are confidential. They will not be shared with the other involved parties, the court, or your lawyer.
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Participant and Case Information |
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L. Are you being represented by a lawyer? |
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M. If no, did you consult with a lawyer before coming today? |
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N. Do you have anyone else with you today, such as a support person or advocate? |
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O. How personally affected [is this support person] or [are you] by the issues that brought you to court?
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P. How influential are [they] or [you] in any decisions made in regard to these issues?
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S. Have you ever been involved in another court case? (Check all that apply) |
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| W. If yes as a plaintiff or defendant, how many times in the last five years? | | |
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X. Prior to this case, have you ever been involved in any of the following processes? |
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AP. Using the following scale, express your agreement or disagreement with the following statement:
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| AU. What results are you hoping to get today? | | |
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AV. Have you done anything to prepare for the trial today? |
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BB. Prior to today, have you had a conversation with the other person/people involved in this case to try to resolve these issues? |
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BC. Were you aware that there were opportunities for mediation or Alternative Dispute Resolution before filing a court case? |
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BD. Would you have liked an opportunity to try mediation or Alternative Dispute Resolution prior to today’s trial? |
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BG. For this case, have you already been involved in any of the following processes: |
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BN. Do you think you are: |
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| BP. How long have the issues that brought you to court been going on? | | |
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BQ. Have the police been called in regard to these issues? |
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| BR. If yes, how many times have the police been called? | | |
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| BS. Over what period of time? (in months) | | |
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BV. Other than today’s court case, have other cases been filed related to these issues? |
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BW. If yes, which types of cases? |
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CC. Using the following scale, express your agreement or disagreement with the following statements:
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C. Demographic information |
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CV. Are you male or female? |
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| CX. How old were you on your last birthday? | | |
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| CY. How many people live in your household, including you? | | |
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CZ. What is your household income? |
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DN. Were you born in the United States? |
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| DO. If no, how long have you lived in the US? | | |
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DP. What language(s) are spoken in your household? |
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| DQ. If a language in addition to, or other than English, specify language/s: | | |
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DR. How well do you think you speak English? |
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DS. Do you have a military background? |
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DT. Do you have any disabilities? |
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| DU. If yes, please specify: | | |
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DV. Relationship to the other party in this court case: |
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EK. What is your highest level of education completed? |
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| General Comments/Observations made by the Researcher | | |
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Who's the Amazing Person that filled out this form? |
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