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Case 1:20-cr-00330-PAE Document 365 Filed 10/22/21 Page 8 of 40 Juror ID: Do you have any personal commitments that would make it difficult for you to get to court by 9:30 a.m., every day of trial, or remain at the courthouse until 5:00 p.m.? (Please note, the Court will arrange and provide transportation to and from the Courthouse each day for selected jurors). Yes No If yes, please explain why you would be unable to get to court by 9:30 a.m. or remain until 5:00 p.m.: Do you have any difficulty reading, speaking, or understanding English? Yes No Do you have any medical, physical, or mental condition or illness that makes you unable to serve on a jury, including difficulty hearing, seeing, reading, or concentrating? Yes No If yes, please briefly describe the condition or illness. If you believe you could serve as a juror if such condition were accommodated in some way, please state the accommodation. Are you taking any medication which would prevent you from giving full attention to all the evidence at this trial? Yes No Fa-8% If yes, please explain: DOJ-OGR-00005284