@extends('layouts.frontend')

@section('title', '| Pour-Over Will Form')

@section('content')
@include('frontend.forms.Living-Will.stepIndicator')
 <!-- start -->
<div class="container">
    <form action="{{route('LivingWillFormStore')}}" method="POST" id="signUpForm">
      @csrf
      <input type="hidden" id="stepInput" name="step" value="1">
      <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">Create Your Living Will</div>
                    <div class="card-sub-title">
                       Do you want to appoint someone to make your health care decisions if you are unable to?
                    </div>
                    <div class="custom-button-yn">
                       <input id="livingwill-y" name="livingwill" value="yes" type="radio" {{ isset($livingWillForm->health_care_decisions) &&  $livingWillForm->health_care_decisions == "yes" ? 'checked' : 'checked'}}>
                       <label for="livingwill-y">Yes</label>
                       <input id="livingwill-n" name="livingwill" value="no" type="radio" {{ isset($livingWillForm->health_care_decisions) &&  $livingWillForm->health_care_decisions == "no" ? 'checked' : ''}}>
                       <label for="livingwill-n">No</label>
                    </div>
                 </div>
               </div>
            </div>
            <!-- start previous / next buttons -->
            <div id="buttonsection">
               <div class="form-footer d-flex justify-content-between">
                  <div>
                  <button type="button" class="btn btn-light btn-lg back-btn d-none">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/living-will-multi-step.js?v=10.1') }}"></script>
<script src="{{ url('frontend/assets/js/forms/custom.js?v=10.3') }}"></script>

@endsection