Extension Intake Form

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Name* This field is required.
First Name
Last Name
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Nice to meet you, {fname}!

Hi, I’m Kyana! ✨ I can’t wait to hear all about your unique hair goals and what’s driving you to explore extensions.

To make sure my signature method is the perfect fit for your needs, I just have a few quick questions. These help me understand the current state of your hair and how we can best align your dream results with the healthiest, most seamless extension experience.
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Are you currently Wearing Hair Extensions?* This field is required.
YESNO
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What factors have impacted your hair goals?* This field is required.choose as many as you like.
Postpartum hair loss
4-12 Months
Hormonal changes (ex: menopause, birth control, pregnancy)
Thyroid issues
Nutrient deficiencies (iron, B12, etc.)
Autoimmune conditions (alopecia, lupus, etc.)
Recent illness (covid)
Chronic stress or anxiety
Medications (antidepressants, acne meds, etc.)
Hair breakage from heat tools
Box dye or over-coloring
Bleach or color gone wrong
Thin or fine hair since childhood
PCOS or other metabolic disorders
Hair extensions done poorly in the past
Seasonal shedding or sudden hair thinning
No clue- just want to figure it out🫠
Other
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Which of the following describes your hair?* This field is required.
Scalp Visible and thin
Thin and not a lot of it
Medium amount of hair.
A lot of hair.
Other
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Are you looking to change your hair color completely, or stay with what you have today?* This field is required.
Radically change my color
Stay with what I have, with minor adjustments
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Any concerns holding you back?choose as many as you like
Worried about damage to my natural hair
Unsure on the maintenance
Concerned about cost
Will they look natural?
No major concerns!
Other
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What's Your Email Address?* This field is required.
example@example.com
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What's Your Phone Number?* This field is required.This is where I'll reach out to contact you to set up your call.
Area Code
Phone Number
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Show Me Your Current Hair

Snap a quick pic that shows your current color & length- no need to overthink it! Good lighting (like near a window) helps us give you the best reccomendation possible. Your phone camera is perfect for this!

No worries if you can't do this now, skip this question and either DM me @kyanabritneredu on instagram or email the photo at textureandsage@gmail.com.
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Upload Your FRONT Shot:
Drag and drop files here
Select files to upload
Cancelof
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Upload Your BACK Shot:
Drag and drop files here
Select files to upload
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Upload Your Desired Look / Inspirational Photo:
Drag and drop files here
Select files to upload
Cancelof
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✨Pricing Guide
Every head of hair is unique, which means your final price depends on how much hair we’re adding (rows), the length you choose, and any color services needed to make everything blend seamlessly. This guide will give you an idea of what to expect when investing in luxury hand-tied extensions and customized color.

💳 Want flexibility? We offer payment plans through Cherry — apply in 60 seconds, with up to 24 months and 0% interest for qualifying guests. See what you qualify for here!

Extension Hair
(Hair is paid upfront to secure your appointment — non-refundable)

18”: 1 Row $547 | 2 Rows $1,025
22”: 1 Row $820 | 2 Rows $1,525
24”: 1 Row $898 | 2 Rows $1,977
Custom Toppers: from $840

Installation
(Paid day of service)

1 Row $360 | 2 Rows $480 | Topper $360

Color Services
(Paid day of service)

Root Touch-Up $240
All Over Color $300
Partial Highlights/Balayage $360
Full Highlights/Balayage $480

Maintenance
Every 6–8 weeks (toppers 4 weeks)
Move-Ups: $360–$480 depending on rows (color not included)
Extension hair lasts ~9 months with proper care

*All pricing subject to change.
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Anything else you think I should know?
Huge
Large
Normal
Small
Ok
Ok
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An Investment in You
I’m aware of the pricing and maintenance schedule for extensions and am ready to move forward with a consult call to learn more.
Should be Empty: