Contact Rejuva

Rejuva

Post:	PO Box 90-002 Victoria Street West Auckland 1142 New Zealand

Fax: Phone: Email:	+64 9 302 1195 +64 9 302 1196 This e-mail address is being protected from spambots. You need JavaScript enabled to view it

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First name*
Last name*
Age*	Marital Status*
Address 1* (not PO Box please)
Address 2
City*
Country
Email address*
Occupation*
Interests*
How did you find out about Rejuva?*
What made you buy it/try it?*
Where did you first try Rejuva? *
Did you find it at the store easily? *	Yes No
Where did you buy it from? *
Which variant[s] have you tried? *	41% Aloe Pomegranate Green Tea Wheat Grass
What is your favourite variant? *	41% Aloe Pomegranate Green Tea Wheat Grass
How much do you like Rejuva? *	Not my thing at all. Not that keen, but I will try it again. It's Ok. It's good. I like it. It's great! I will drink it whenever I can get it.
When do you drink Rejuva? *
Did you know that all Rejuva products have high percentages of natural beneficial ingredients?*
	Yes No
Do you drink Rejuva for the TASTE, INGREDIENTS or both?*
What does Rejuva remind you of? *
What will you be telling your friends about Rejuva? *
How does Rejuva make you feel? *
What other beverages do you like to drink? *

Preferred Rejuva variant[s] *	41% Aloe Pomegranate Green Tea Wheat Grass
Which store do you shop at? *
Is this the store that you can't find Rejuva at ? *	Yes No
If not, which store would you like Rejuva to be at? *