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Remember to include a picture when prompted, if you would also like to be entered to win a $250 Gift Card. 

THANK YOU for taking the time to share your highly respected thoughts with us!
Share Your Story
What is Your Name?

First, Last
Where are you located? *

City, State, Country
What is your phone number? *

What product has helped you to reach your success the most? *

Please select a single product that has helped your success. If you'd like, you can resubmit this survey for as many products as you like.

JJ's Books *

JJ's Online Programs *

Which flavor of bars do you eat the most? *

Which type/flavor of shakes do you use the most? *

Which supplement has lead to your success? *

Please rate the product you chose

Tell us Your Story! *

Please complete this sentence: "Because of JJ Virgin and her products/programs,  I…."  (Example- lost 15 pounds in only 2 weeks, dropped 3 pant sizes, have more energy, feel better than ever, my husband tells me I’m hot, I look better at 50 than I did at 20, I can walk by girl scouts selling cookies and not have any cravings, sleep through the night etc.)

*By sharing your story, you are giving consent for your name and the submitted review/story to be used in JJ Virgin’s promotions.
Upload a picture of yourself holding your favorite JJ Virgin product to enter to win a $250 gift

By sharing your photo, you are agreeing to be entered in this month’s contest to win a $250 gift and you are giving consent for the submitted photo, story and your name to be used in JJ Virgin’s promotions.
By submitting this form you give JJ Virgin Inc and Associates the permission to use your photograph and testimonial in any form or media.

Thank you for sharing your review.

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