@extends('layouts.frontend')

@section('title', '| FREE END-OF-LIFE PLAN')

@section('content')
@include('frontend.forms.End-Of-Life-Plan.stepIndicator')
 <!-- start -->
<div class="container">
    <form action="{{route('EndoflifePlanFormStore')}}" method="POST" id="signUpForm">
      @csrf
      <input type="hidden" id="stepInput" name="step" value="5-m-4">
      <div class="card">
         <div class="card-body">
            <!-- step 1 -->
            <div class="step" style="display: block">
               <div class="card-title">Your Memorial Service</div>
               <div class="card-sub-title">Would you like to leave specific instructions for your memorial service?</div>
               @php
               $service = json_decode($endoflifePlanForm->memorial_service_y, true);
               @endphp
               <div class="custom-button-yn">
                  <input id="memorial_service-y" name="memorialservice" value="yes" type="radio" {{ !isset($service['services_av']) || $service['services_av'] === 'yes' ? 'checked' : '' }}>
                  <label for="memorial_service-y">Yes</label>
                  <input id="memorial_service-n" name="memorialservice" value="no" type="radio" {{ isset($service['services_av']) && $service['services_av'] === 'no' ? 'checked' : '' }}>
                  <label for="memorial_service-n">No</label>
               </div>
               <div id="memorial_service_holder_m">
                  <div class="card-sub-title">What type of service would you like? (Select all that apply.)</div>
                  <div class="form-check my-3">
                     <input class="form-check-input" name="memorial_service[]" type="checkbox" value="location" id="memorial_service" {{ isset($service['type']) && in_array('location', $service['type']) ? 'checked' : '' }}>
                     <label class="form-check-label ms-3" for="flexCheckDefault">Location</label>
                  </div>
                  <div class="form-check my-3">
                     <input class="form-check-input" name="memorial_service[]" type="checkbox" value="guests" id="memorial_service" {{ isset($service['type']) && in_array('guests', $service['type']) ? 'checked' : '' }}>
                     <label class="form-check-label ms-3" for="flexCheckDefault">Guests</label>
                  </div>
                  <div class="form-check my-3">
                     <input class="form-check-input" name="memorial_service[]" type="checkbox" value="music" id="memorial_service" {{ isset($service['type']) && in_array('music', $service['type']) ? 'checked' : '' }}>
                     <label class="form-check-label ms-3" for="flexCheckDefault">Music/Readings</label>
                  </div>
                  <div class="form-check my-3">
                     <input class="form-check-input" name="memorial_service[]" type="checkbox" value="speakers" id="memorial_service" {{ isset($service['type']) && in_array('speakers', $service['type']) ? 'checked' : '' }}>
                     <label class="form-check-label ms-3" for="flexCheckDefault">Speakers</label>
                  </div>
                  <div class="form-check my-3">
                     <input class="form-check-input" name="memorial_service[]" type="checkbox" value="other" id="memorial_service" {{ isset($service['type']) && in_array('other', $service['type']) ? 'checked' : '' }}>
                     <label class="form-check-label ms-3" for="flexCheckDefault">Other</label>
                  </div>
               </div>
            </div>
            <!-- start previous / next buttons -->
            <div id="buttonsection">
               <div class="form-footer d-flex justify-content-between">
                  <div>
                  <button type="button" onclick="window.location.href = '{{ route('endoflifePlan.create.step.five_memorial-1') }}'" class="btn btn-light btn-lg back-btn">Back</button>
                  <button type="submit" class="btn btn-light btn-lg">Save and Continue</button>
               </div>
               <button type="submit" class="btn btn-light btn-lg" name="preview_submit" value="preview">{{env('PREVIEW_BUTTON_TEXT')}}</button>
                  <button type="button" class="btn btn-light btn-lg skip-btn d-none">Skip Step</button>
               </div>
            </div>
            <!-- end previous / next buttons -->
         </div>
      </div>
</div>

@endsection
@section('page-js')
<script src="{{ url('frontend/assets/js/forms/end-of-life-plan-multi-step.js?v=10.1.1') }}"></script>
<script src="{{ url('frontend/assets/js/forms/custom.js?v=10.3') }}"></script>

@endsection