@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-o-2">
      <div class="card">
         <div class="card-body">
            <!-- step 1 -->
            <div class="step" style="display: block">
                <div class="row">
                   <div class="col-md-8">
                      <div class="card-title">Additional Instructions</div>
                      <div class="card-sub-title">Do you wish to include any other instructions regarding your service?</div>
                      <div class="custom-button-yn">
                         <input id="graveside_service-y" name="in_memorial_service" value="yes" type="radio" {{ !empty($endoflifePlanForm->other_service_instructions) ? 'checked' : '' }}>
                         <label for="graveside_service-y">Yes</label>
                         <input id="graveside_service-n" name="in_memorial_service" value="no" type="radio" {{ empty($endoflifePlanForm->other_service_instructions) ? 'checked' : '' }}>
                         <label for="graveside_service-n">No</label>
                      </div>
                      <div id="graveside_service_holder">
                         <div id="graveside_service_12">
                            @php
                            $other_minstructionsArray = json_decode($endoflifePlanForm->other_service_instructions, true)
                            @endphp
                            @if(!empty($endoflifePlanForm->other_service_instructions) && count($other_minstructionsArray) > 0)                                 
                            @foreach($other_minstructionsArray as $index => $details)
                               <div class="card list mt-4" id="child">
                                  <div class="card-header d-flex justify-content-between">
                                     <div class="card-sub-title m-0">Describe your wishes in complete sentences:</div>
                                     <a class="r-button" onclick="removetList(this)">
                                        <span class="fas fa-times"></span>
                                        <span class="remove">Remove</span>
                                     </a>
                                  </div> 
                                  <input type="text" class="form-control modified-input" value="{{$details['detail']}}" name="memorial_describe[]" aria-describedby="memorialDescribe" placeholder="">
                                  <small id="memorialDescribe" class="form-text text-muted">e.g. I would like my family and friends to have the opportunity to speak at my vigil.</small>
                               </div>
                            @endforeach
                            @else
                            <div class="card list mt-4" id="child">
                               <div class="card-header d-flex justify-content-between">
                                  <div class="card-sub-title m-0">Describe your wishes in complete sentences:</div>
                                  <a class="r-button" onclick="removetList(this)">
                                     <span class="fas fa-times"></span>
                                     <span class="remove">Remove</span>
                                  </a>
                               </div> 
                               <input type="text" class="form-control modified-input" name="memorial_describe[]" aria-describedby="memorialDescribe" placeholder="">
                               <small id="memorialDescribe" class="form-text text-muted">e.g. I would like my family and friends to have the opportunity to speak at my vigil.</small>
                            </div>
                            @endif
                         </div>
                         <div class="add-child">
                            <a href="#" id="add-another-child" onclick="clone('graveside_service_12')" class="add-button">
                               <span class="fas fa-plus"></span>
                               Add another instruction
                            </a>
                         </div>
                      </div>
                   </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_other-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