@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="5-1-2">
      <div class="card">
         <div class="card-body">
            <!-- step 1 -->
            @php
              $cap = json_decode($endoflifePlanForm->estate_cover,true);
            @endphp
            <div class="step" style="display: block">
               <div class="row">
                  <div class="col-md-10 col-lg-8 order-1 order-md-1 order-lg-1">
                     <div class="card-title">Your Estate</div>
                     <div class="card-sub-title">Would you like to cap the amount that your estate will cover?</div>
                     <div class="custom-button-yn">
                        <input id="capa-y" name="estate_cover" value="yes" type="radio" {{ !isset($cap['cover']) || $cap['cover'] == "yes" ? 'checked' : '' }}>
                        <label for="capa-y">Yes</label>
                        <input id="capa-n" name="estate_cover" value="no" type="radio" {{ isset($endoflifePlanForm->estate_cover) && isset($cap['cover']) && $cap['cover'] == "no" ? 'checked' : '' }}>
                        <label for="capa-n">No</label>
                     </div>
                     <div class="mt-5" id="cap_amount">
                        <div class="input-group mb-3">
                           <span class="input-group-text">$</span>
                           <input type="text" class="form-control modified-input" name="cap_amount" id="cap_amount" placeholder="0.00" value="{{ isset($endoflifePlanForm->estate_cover) &&  isset($cap['amount']) ? $cap['amount']  : '' }}">
                        </div>
                     </div>
                  </div>
                  <div class="col-md-8 col-lg-4 order-3 order-md-3 order-lg-2">
                     <div class="faq-box">
                        <div class="title">Frequently Asked Questions</div>
                        <div class="tooltip">
                           <p>How much should I set aside?</p>
                           <span class="tooltiptext">The amount you should set aside for funeral and end-of-life expenses can vary widely based on your preferences, location, and the type of arrangements you choose. It's a good idea to consult with funeral homes or cremation providers in your area to get estimates and plan accordingly. Additionally, pre-planning can help you make informed decisions about budgeting for these expenses.</span>
                        </div>
                     </div>
                  </div>
                  <!-- start previous / next buttons -->
                  <div class="col-md-10 col-lg-12 order-2 order-md-2 order-lg-3">
                     <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_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>
                  </div>
                  <!-- end previous / next buttons -->
               </div>
            </div>
         </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