@extends('layouts.frontend')

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

@section('content')
@include('frontend.forms.Pour-Over-Will.stepIndicator')
 <!-- start -->
<div class="container">
    <form action="{{route('pourOverWillFormcreate')}}" 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">
                    @if (Session::has('message'))
                        <div class="alert alert-info">{{ Session::get('message') }}</div>
                    @endif
                   <div class="col-md-10 col-lg-8 order-1 order-md-1 order-lg-1">
                      <div class="card-title">Children</div>
                      <div class="card-sub-title">Do you have children?</div>

                      <div class="custom-button-yn">
                         <input id="children-toggle-on" name="children" type="radio" value="on" {{ !empty($pourOverWillForm->children) ? 'checked' : ''}}>
                         <label for="children-toggle-on">Yes</label>
                         <input id="children-toggle-off" name="children" type="radio" value="off" {{ empty($pourOverWillForm->children) ? 'checked' : ''}}>
                         <label for="children-toggle-off">No</label>
                      </div>
                      <div id="children-section-details">
                         <div class="card-sub-title">Who are the your children?</div>
                         <div id="children-container" class="field-container">
                            @php
                            $childrenarray = json_decode($pourOverWillForm->children, true);
                            @endphp

                            @if(!empty($pourOverWillForm->children) && count($childrenarray) > 0)
                                @foreach($childrenarray as $index => $child)
                                <!-- Existing child data -->
                                <div class="card list mb-3" id="child">
                                    <div class="card-header d-flex justify-content-between">
                                        <div class="card-title m-0">Child Name</div>
                                        <a href="#" onclick="removetList(this)" class="r-button">
                                            <span class="fas fa-times"></span><span class="remove">Remove</span>
                                        </a>
                                    </div>
                                    <div class="card-body">
                                        <div class="form-group mb-3">
                                            <label for="name">Name</label>
                                            <input type="text" name="child_name[]" id="child_name" class="form-control modified-input" aria-describedby="nameHelp"  value="{{ $child['name'] }}">
                                            <small id="nameHelp" class="form-text text-muted">e.g. William Timothy Smith</small>
                                        </div>
                                        <div class="form-check">
                                            <input class="form-check-input" type="hidden" name="cdependent[{{$index}}]" value="no">
                                            <input class="form-check-input" name="cdependent[{{$index}}]" type="checkbox" value="yes"  id="flexCheckDefault" {{ $child['dependent'] == 'yes' ? 'checked' : '' }}>
                                            <label class="form-check-label">
                                                Minor or dependent?
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                @endforeach
                            @else
                                <!-- If no data, show an empty child form -->
                                <div class="card list mb-3" id="child">
                                    <div class="card-header d-flex justify-content-between">
                                        <div class="card-title m-0">Child Name</div>
                                        <a href="#" onclick="removetList(this)" class="r-button">
                                            <span class="fas fa-times"></span><span class="remove">Remove</span>
                                        </a>
                                    </div>
                                    <div class="card-body">
                                        <div class="form-group mb-3">
                                            <label for="name">Name</label>
                                            <input type="text" name="child_name[]" id="child_name" class="form-control" aria-describedby="nameHelp" >
                                            <small id="nameHelp" class="form-text text-muted">e.g. William Timothy Smith</small>
                                        </div>
                                        <div class="form-check">
                                            <input class="form-check-input" type="hidden" name="cdependent[0]" id="flexCheckDefault" value="no">
                                            <input class="form-check-input" name="cdependent[0]" type="checkbox" value="yes" id="flexCheckDefault" checked>
                                            <label class="form-check-label">
                                                Minor or dependent?
                                            </label>
                                        </div>
                                    </div>
                                </div>
                            @endif
                         </div>
                         <div class="add-child">
                            <a id="add-another-child" onclick="custom_clone('children-container')" class="add-button"><span class="fas fa-plus"></span>Add Another Child</a>
                         </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">FAQ’s</div>
                         <p>Should I list stepchildren?</p>
                      </div> -->
                   </div>
                   <!-- start previous / next buttons -->
                   <div class="col-md-12 order-2 order-md-2 order-lg-3">
                        <div id="buttonsection">
                            <div class="form-footer d-flex justify-content-between">
                            <div>
                            <button onclick="window.location.href = '{{ route('pourOverWillFormStart') }}'" type="button" 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>
   </form>

</div>

@endsection
@section('page-js')
<script src="{{ url('frontend/assets/js/forms/pour-over-will-multi-stepform.js?v=10.4') }}"></script>
<script src="{{ url('frontend/assets/js/forms/custom.js?v=10.3') }}"></script>

@endsection