Autoya Parnell v. Everett Financial Inc. d/b/a Supreme Lending

JAMS No. 1310023956

OPT-IN PLAINTIFF QUESTIONNAIRE

Complete Questionnaire

Please answer each of the questions to the best of your memory.  Do not guess.  If you are estimating or unsure about your memory on an answer you should say so in your answer (for example, “I believe that . . . .”).  Please remember that your answers are made under penalty of perjury.

Please understand that Supreme Lending wants you to answer these questions truthfully and to the best of your ability.

Your answers will not become part of your employment records with Supreme or shared with any employer outside of Supreme.

You will complete the questionnaire electronically.  YOU HAVE UNTIL NO LATER THAN FRIDAY, DECEMBER 23, 2019, TO RETURN THIS QUESTIONNAIRE.  This questionnaire should take you no more than one hour to complete.

Please call or email your counsel Rowdy Meeks, Rowdy Meeks Legal Group LLC, at 913 766 5587 or Rowdy.Meeks@rmlegalgroup.com if you have any questions or do not understand any question.

All of the questions below relate to your employment at Supreme Lending.  The relevant time period for all of your answers is the dates during which you worked at Supreme Lending but only between May 31, 2016, and the present (the “Relevant Time Period”).  You should not provide any information about events before this time period.

When you have completed the questionnaire, please review and sign at the end in the space provided