{
  "document_metadata": {
    "page_number": "25",
    "document_number": "2020-0000000000",
    "date": null,
    "document_type": "Juror Questionnaire",
    "has_handwriting": true,
    "has_stamps": false
  },
  "full_text": "Case#: 2020-0000000000 Document#: 6423-11 Filed: 0023/21/2222 Page: 24 of 80\nJuror ID: 50\n49. Have you or a friend or family member ever been accused of sexual harassment, sexual abuse, or sexual assault? (This includes both formal accusations in a court of law or informal accusations in a social or work setting of actual or attempted sexual assault or other unwanted sexual advance, including by a stranger, acquaintance, supervisor, teacher, or family member.)\nYes (self) Yes (friend or family member) No\n49a. If yes, without listing names, please explain:\n49b. If your answer to 49 was yes, do you believe that this would affect your ability to serve fairly and impartially as a juror in this case?\nYes No\n49c. If yes to 49b, please explain:\n50. Is there any other experience that you or anyone close to you has had that may affect your ability to serve fairly and impartially as a juror in this case?\nYes No\n50a. If yes, please explain:\n-25-\nDOJ-OGR-00009782",
  "text_blocks": [
    {
      "type": "printed",
      "content": "Case#: 2020-0000000000 Document#: 6423-11 Filed: 0023/21/2222 Page: 24 of 80",
      "position": "header"
    },
    {
      "type": "handwritten",
      "content": "50",
      "position": "header"
    },
    {
      "type": "printed",
      "content": "Juror ID:",
      "position": "header"
    },
    {
      "type": "printed",
      "content": "49. Have you or a friend or family member ever been accused of sexual harassment, sexual abuse, or sexual assault? (This includes both formal accusations in a court of law or informal accusations in a social or work setting of actual or attempted sexual assault or other unwanted sexual advance, including by a stranger, acquaintance, supervisor, teacher, or family member.)",
      "position": "body"
    },
    {
      "type": "printed",
      "content": "Yes (self) Yes (friend or family member) No",
      "position": "body"
    },
    {
      "type": "handwritten",
      "content": "X",
      "position": "body"
    },
    {
      "type": "printed",
      "content": "49a. If yes, without listing names, please explain:",
      "position": "body"
    },
    {
      "type": "printed",
      "content": "49b. If your answer to 49 was yes, do you believe that this would affect your ability to serve fairly and impartially as a juror in this case?",
      "position": "body"
    },
    {
      "type": "printed",
      "content": "Yes No",
      "position": "body"
    },
    {
      "type": "printed",
      "content": "49c. If yes to 49b, please explain:",
      "position": "body"
    },
    {
      "type": "printed",
      "content": "50. Is there any other experience that you or anyone close to you has had that may affect your ability to serve fairly and impartially as a juror in this case?",
      "position": "body"
    },
    {
      "type": "printed",
      "content": "Yes No",
      "position": "body"
    },
    {
      "type": "handwritten",
      "content": "X",
      "position": "body"
    },
    {
      "type": "printed",
      "content": "50a. If yes, please explain:",
      "position": "body"
    },
    {
      "type": "printed",
      "content": "-25-",
      "position": "footer"
    },
    {
      "type": "printed",
      "content": "DOJ-OGR-00009782",
      "position": "footer"
    }
  ],
  "entities": {
    "people": [],
    "organizations": [
      "DOJ"
    ],
    "locations": [],
    "dates": [
      "0023/21/2222"
    ],
    "reference_numbers": [
      "2020-0000000000",
      "6423-11",
      "DOJ-OGR-00009782"
    ]
  },
  "additional_notes": "The document appears to be a juror questionnaire with some handwritten marks indicating 'No' to questions 49 and 50. The document is in good condition with no visible damage or redactions."
}