Submit Your Success Story

ididit_headerPlease answer all questions and enter your information on the Publicity Consent form BEFORE submitting.

Although we can’t guarantee you’ll be featured in any of our marketing or advertising, you’re chances will increase greatly if you:

  • Include a before and after photo.
  • Did not lose more than 2 pounds a week (on average) with Weight Watchers.
  • Attended meetings, and continue to attend meetings, regularly.
  • Are a member in southeast or northern Michigan, or southern/northern Ontario.
  • You’ve maintained your weight loss, if a LTM.
  • You’re within your BMI range for your height OR have a doctor’s note on file, if a LTM.

Tell Us About Yourself

Your Name*

Street Address*



ZIP/Postal Code*

Email Address*

Daytime Phone number*

Tell Us About Your Meetings Experience

Your Leader's Name:

Where do you usually attend?

What day and time do you usually attend meetings: Your Meeting Day?

What did you weigh when you joined Weight Watchers?*

How many pounds have you've lost with Weight Watchers to date?*

What is your Goal Weight?*

Are you a lifetime member?*

What is your height?*

Tell Us How Weight Watchers Has Changed Your Life

1. Tell us what your life was like prior to joining Weight Watchers. How did you feel prior to losing 50 or more pounds?

2. Why has Weight Watchers worked for you?

3. You Did It!!! Since losing weight, what exciting things has losing weight brought to you and your life?

As it applies to your weight loss, share as many of the following as you would like. Complete the the information below and help others through your experiences.

4. A Humorous Story

5. A Touching Incident

6. A "eureka" or "aha" moment

7. A quote, saying or personal mantra, that keeps you motivated?

8. How has your weekly meeting benefited you?

9. The most memorable meeting and why?

10. Something someone has said to you?

11. Ways your world has opened up?

12. Your favorite Weight Watchers products, tools or foods?

13. How you plan to maintain your weight loss?

Publicity Consent Form

I residing at in the city of State/Province of consent to the use of my name, my picture and information concerning my experience following the Weight Watchers program and relevant biographical data, including my weight loss, by the W W Group, Inc. and/or all affiliated companies, its successors, assigns, affiliates and licensees (hereinafter WWG) in connection with its dieting program materials, advertising, publicity or promotions.

I confirm that I lost pounds following the Weight Watchers program and that I am still a member. I also confirm that the information contained in the attached draft material is true. I give WWG the absolute and irrevocable right to copyright such material in its own name and to use/or reproduce such material in whole or in part, alone or in combination with other pictorial or textural material in any medium, with or without my name and with additions, alterations or changes as WWG may deem appropriate. I understand and agree that this consent extends to the use of this material for any purpose, including advertising, publicity or trade and confirm that I do not have the right to review or approve the material, advertisements or other printed matter. I confirm that I am not a minor for legal consent. (If under age of 21, signature of a parent or guardian must be included.)

Submitted on this date:*


Phone Number:*


Upload Before and After Digital Photos Below:

The following files are accepted: JPG, GIF, PNG. Max upload file size: 2MB.
Each photo should be titled with your first and last name—but please do not include spaces or special characters such as "&" or "*". We accept JPG, GIF, or PNG files only. Maximum file size is 2MB. If you're having trouble uploading your photo, please reduce the file size.

Before photo:

After photo:

Weight Watchers MUST receive this completed form in order for you to be honored.
Also, don't forget your before and after pictures. It really adds to your recognition.