Dallas Personal Injury Lawyers - Bruegger & McCullough, P.C.

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Online Jury Verdict

Fill out the following in order to render your verdict.

Based on your review of this case, which party or parties was at fault in causing the collision?

	The Defendant
	The Plaintiff
	Both

If you found both parties to have some fault in causing the collision, what percentage of fault should be attributed to each party?

Defendant		% fault
Plaintiff		% fault

** The two percentages should total 100%.

If you found that the Defendant had some fault in causing the collision, what amount of money would you award the Plaintiff to reimburse her for her pain and mental suffering?

If you found that the Plaintiff had some fault in causing the collision, which actions (or faulures to act) were causes of the collision? Mark all that apply.

	Passing in a no-passing zone?
	Failing to lookout for Defendant's turn?
	Speeding?

What is your area code?

What is your gender?

	Male
	Female

What is your age?

What is your race?

	Caucasian
	Black
	Hispanic
	Asian
	Other

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

If employed, what kind of job do you have?

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