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Indicate percentages in whole numbers next to the type of law you practice, not the business of the client you represent. c. In completing this Plaintiff Assessment Questionnaire, you are under oath and must provide information that is true and correct to the best of your knowledge.Sometimes plaintiffs will only agree to attend defence medical exams if they do not have to sign anything or complete any forms. A questionnaire for plaintiff-side attorneys to provide to clients in discrimination and retaliation cases to determine compensatory damages. Completing these answers now reduces the need for additional or follow-up questioning in comt. This questionnaire is part of the formal jury selection process. Please complete this Questionnaire and return it with the documents identified on the next page to the County Court Mediation Department, insert address . Must serve your completed form on the plaintiff. Do not file the Case Questionnaire at court. Asserted attorney-client privilege, from discovery of questionnaires mailed to individual plaintiffs, completed, and returned to plaintiffs' counsel. The.