@extends('layouts.frontend')

@section('title', '| Last Will And Testament')

@section('content')
@include('frontend.forms.Will-Testament.stepIndicator')
 <!-- start -->
<div class="container">
    <form action="{{route('willsAndTestFormcreate')}}" method="POST" id="signUpForm">
      @csrf
      <input type="hidden" id="stepInput" name="step" value="5">
      <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">Pets</div>
                     <div class="card-sub-title">Do you have any pets?</div>
                     <div class="custom-button-yn mb-5">
                        <input id="pets-y" name="pets_status" value="yes" type="radio" {{ isset($willsAndTest->pets_details) && $willsAndTest->pets_status == "yes"  ? 'checked' : '' }}>
                        <label for="pets-y">Yes</label>
                        <input id="pets-n" name="pets_status" value="no" type="radio" {{ !isset($willsAndTest->pets_details) || $willsAndTest->pets_status == "no" ? 'checked' : '' }}>
                        <label for="pets-n">No</label>
                     </div>
                    <div id="pets-section-details">
                       <div id="pet-container">
                        @php
                        $pets_detailsArray = json_decode($willsAndTest->pets_details, true)
                        @endphp
                        @if(!empty($willsAndTest->pets_details) && count($pets_detailsArray) > 0)
                        @foreach($pets_detailsArray as $index => $pet)
                        <div class="card list pets-details mb-3" id="child">
                           <div class="card-header d-flex justify-content-between">
                              <div class="card-title m-0">Pet details</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">
                                 <label for="name">Pet Name</label>
                                 <input value="{{ $pet['petname'] ?? "" }}" type="text" class="form-control" name="petname[]" id="petname" aria-describedby="nameHelp" placeholder="Pet Name">
                                 <small id="nameHelp" class="form-text text-muted">e.g. Lassie</small>
                              </div>
                              <div class="form-group mb-3">
                                 <label for="name">Pet Description</label>
                                 <input value="{{ $pet['petDescription'] ?? "" }}" type="text" class="form-control" name="petDescription[]" id="petDescription" aria-describedby="cityHelp" placeholder="Pet Description">
                                 <small id="cityHelp" class="form-text text-muted">e.g. Female German Shepherd</small>
                              </div>
                              <label for="name">Pet Fund Amount</label>
                              <div class="input-group mb-3">
                                
                                 <span class="input-group-text text-light">$</span>
                                 <input value="{{ $pet['petFundAmount'] ?? "" }}" type="text" class="form-control" name="petFundAmount[]" id="petFundAmount" placeholder="Pet Fund Amount">
                              </div>
                              <div class="card-sub-title">Do you want to appoint a pet caretaker now?</div>
                              
                              <div class="custom-button-yn mb-5">
                                 <input class="pet-radio" data-form="caretaker" id="pets-care-y-{{$index}}" name="pets-care[{{$index}}]" type="radio" value="yes" @if(($pet['pets_care'] ?? "") == 'yes') checked @endif>
                                 <label for="pets-care-y-{{$index}}">Yes</label>
                                 <input class="pet-radio" data-form="caretaker-n" id="pets-care-n-{{$index}}" name="pets-care[{{$index}}]" type="radio" value="no" @if(($pet['pets_care'] ?? "") == 'no') checked @endif>
                                 <label for="pets-care-n-{{$index}}">No</label>
                              </div>
                              <div class="pet-form" data-form-name="caretaker" id="caretaker-{{$index}}"  @if($pet['pets_care'] === 'yes') style="display: block;" @else style="display: none;" @endif>
                               <div class="form-group mb-3">
                                   <label for="name">Name</label>
                                   <input  value="{{ $pet['caretaker_name'] ?? "" }}"  type="text" class="form-control" name="caretaker_name[]" id="caretaker_name" aria-describedby="nameHelp" >
                                   <small id="nameHelp" class="form-text text-muted">e.g. William Timothy Smith</small>
                               </div>
                               <div class="form-group mb-3">
                                   <label for="city">City/Town</label>
                                   <input  value="{{ $pet['caretaker_city'] ?? "" }}"  type="text" class="form-control" name="caretaker_city[]" id="caretaker_city" aria-describedby="cityHelp" placeholder="Northridge">
                                   <small id="cityHelp" class="form-text text-muted d-none">city</small>
                               </div>
                               <div class="form-group mb-3">
                                   <label for="state">State</label>
                                   <input  value="{{ $pet['caretaker_state'] ?? "" }}"  type="text" class="form-control" name="caretaker_state[]" id="caretaker_state" placeholder="California">
                               </div>
                           </div>
                           <div class="pet-form" data-form-name="caretaker-n" id="caretaker-{{$index}}" @if($pet['pets_care'] ?? "" === 'no') style="display: block;" @else style="display: none;" @endif>
                           </div>
                           </div>
                        </div>
                        
                        @endforeach
                        @else
                        <div class="card list pets-details mb-3" id="child">
                          <div class="card-header d-flex justify-content-between">
                             <div class="card-title m-0">Pet details</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">
                                <label for="name">Pet Name</label>
                                <input type="text" class="form-control modified-input" name="petname[]" id="petname" aria-describedby="nameHelp" placeholder="Pet Name">
                                <small id="nameHelp" class="form-text text-muted">e.g. Lassie</small>
                             </div>
                             <div class="form-group mb-3">
                                <label for="name">Pet Description</label>
                                <input type="text" class="form-control modified-input" name="petDescription[]" id="petDescription" aria-describedby="cityHelp" placeholder="Pet Description">
                                <small id="cityHelp" class="form-text text-muted">e.g. Female German Shepherd</small>
                             </div>
                             <label for="name">Pet Fund Amount</label>
                             <div class="input-group mb-3">
                                
                                <span class="input-group-text text-light">$</span>
                                <input type="text" class="form-control modified-input" name="petFundAmount[]" id="petFundAmount" placeholder="Pet Fund Amount">
                             </div>
                             <div class="card-sub-title">Do you want to appoint a pet caretaker now?</div>
                             <div class="custom-button-yn mb-5">
                                <input class="pet-radio" data-form="caretaker" id="pets-care-y-0" name="pets-care[]" type="radio" value="yes">
                                <label for="pets-care-y-0">Yes</label>
                                <input class="pet-radio" data-form="caretaker-n" id="pets-care-n-0" name="pets-care[]" type="radio" value="no" checked>
                                <label for="pets-care-n-0">No</label>
                             </div>
                              <div class="pet-form" data-form-name="caretaker" style="display: none">
                                 <div class="form-group mb-3">
                                    <label for="name">Name</label>
                                    <input type="text" class="form-control modified-input" name="caretaker_name[]" id="caretaker_name" aria-describedby="nameHelp" >
                                    <small id="nameHelp" class="form-text text-muted">e.g. William Timothy Smith</small>
                                 </div>
                                 <div class="form-group mb-3">
                                    <label for="city">City/Town</label>
                                    <input type="text" class="form-control modified-input" name="caretaker_city[]" id="caretaker_city" aria-describedby="cityHelp" placeholder="Northridge">
                                    <small id="cityHelp" class="form-text text-muted d-none">city</small>
                                 </div>
                                 <div class="form-group mb-3">
                                    <label for="state">State</label>
                                    <input type="text" class="form-control modified-input" name="caretaker_state[]" id="caretaker_state" placeholder="California">
                                 </div>
                              </div>
          
                          </div>
                        </div>
                
                        @endif
                     </div>
                           <div class="add-child">
                              <a  onclick="custom_clone('pet-container')">
                                 <span class="fas fa-plus"></span>
                                 Add another pet
                              </a>
                           </div>
                    </div>
                     
                     
                  </div>
                  <div class="col-md-4">
                  </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('willsAndTest.create.step.four_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>
   document.addEventListener("DOMContentLoaded", function () {
      setupFormToggle('pet-container', 'pet-radio','.pet-form','.pets-details');
   });
</script>
<script src="{{ url('frontend/assets/js/forms/wills-And-Testament-step.js?v=10.5') }}"></script>
<script src="{{ url('frontend/assets/js/forms/custom.js?v=10.3') }}"></script>

@endsection