@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="3-2-2">
      <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">Your Death Notice</div>
                     <div class="card-sub-title">Do you want your death notice to list your surviving family members?</div>
                     <div class="custom-button-yn mb-5">
                        <input id="surviving_family-y" name="surviving_family" value="yes" type="radio" {{ !isset($endoflifePlanForm->surviving_family) || $endoflifePlanForm->surviving_family == 'yes' ? 'checked' : ''}}>
                        <label for="surviving_family-y">Yes</label>
                        <input id="surviving_family-n" name="surviving_family" value="no" type="radio" {{ isset($endoflifePlanForm->surviving_family) && $endoflifePlanForm->surviving_family == 'no' ? 'checked' : ''}}>
                        <label for="surviving_family-n">No</label>
                     </div>
                     <div id="surviving_family_main">
                        <div id="surviving_family_holder">
                           @php
                              $surviving_family_detailsArray = json_decode($endoflifePlanForm->surviving_family_details, true);
                           @endphp
                           @if(!empty($endoflifePlanForm->surviving_family_details) && count($surviving_family_detailsArray) > 0)                                 
                           @foreach($surviving_family_detailsArray as $index => $surviving_family_details)
                              <div class="card list mb-3" id="child">
                                 <div class="card-header d-flex justify-content-between">
                                    <div class="card-sub-title m-0">Describe the biographical detail you wish to include:
                                    </div>
                                    <a class="r-button" onclick="removetList(this)">
                                       <span class="fas fa-times"></span>
                                       <span class="remove">Remove</span>
                                    </a>
                                 </div>
                                 <div class="card-body">
                                    <div class="form-group mb-3">
                                          <input value="{{$surviving_family_details['detail']}}" type="text" class="form-control" name="detail[]">
                                          <small id="nameHelp" class="form-text text-muted">e.g. Member of the Rotary Club of Philadelphia since 1999 and member of the DAR since 1980.</small>
                                    </div>
                                 </div>
                              </div>
                           @endforeach
                           @else
                              <div class="card list mb-3" id="child">
                                 <div class="card-header d-flex justify-content-between">
                                    <div class="card-sub-title m-0">Describe the biographical detail you wish to include:
                                    </div>
                                    <a class="r-button" onclick="removetList(this)">
                                       <span class="fas fa-times"></span>
                                       <span class="remove">Remove</span>
                                    </a>
                                 </div>
                                 <div class="card-body">
                                    <div class="form-group mb-3">
                                          <input type="text" class="form-control" name="detail[]">
                                          <small id="nameHelp" class="form-text text-muted">e.g. Member of the Rotary Club of Philadelphia since 1999 and member of the DAR since 1980.</small>
                                    </div>
                                 </div>
                              </div>
                           @endif
                        </div>
                        <div class="add-child">
                           <a href="#" id="add-obituary-button" onclick="clone('surviving_family_holder')">
                           <span class="fas fa-plus"></span>Add another biographical detail</a>
                        </div>
                     </div>
                  </div>
                  <div class="col-md-4">
                     <div class="faq-box">
                        <div class="title">Frequently Asked Questions</div>
                        <div class="tooltip">
                        <p>What details should I include in my death notice?</p>
                        <span class="tooltiptext">
                        A death notice should include the following details:
                        <ul>
                        <li>Full name of the deceased.</li>
                        <li>Date and place of death.</li>
                        <li>Information about funeral or memorial services, if applicable.</li>
                        <li>Surviving family members.</li>
                        <li>A brief mention of the deceased's achievements or contributions, if desired.</li>
                        </ul>
                        </span>
                        </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.three_2_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