@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="1-1">
      <div class="card">
         <div class="card-body">
            <!-- step 1 -->
            @if(isset($willsAndTest->a_status) && $willsAndTest->a_status == 'self')
            <div class="step" style="display: block">
               <div class="card-title">Your details</div>
               <div class="card-sub-title">What are your details?</div>
               <div class="form-check mb-3">
                  <input class="form-check-input" type="checkbox" value="" id="userCheckbox" class = 'autoFillbox'>
                  <label class="form-check-label" for="flexCheckDefault">
                     Auto fill your previous information
                  </label>
               </div>
               <div class="form-group mb-3">
                  <label for="name">Name</label>
                  <input value="{{ isset($willsAndTest->full_name) ? $willsAndTest->full_name : '' }}" type="text" class="form-control modified-input" id="full_name" name="full_name" aria-describedby="nameHelp" >
                  <small id="nameHelp" class="form-text text-muted">e.g. William Timothy Smith</small>
               </div>
                <!-- START - autopopulating from zipcode
                  /*
                  * Author: Gurupriya Solanki
                  * Updated date: 30 May 2024
                  * Description: Updated fields according to edit profile page for autopopulating from zipcode
                  */
                  -->
               <div class="form-group mb-3">
                  <label for="street">Street Address1</label>
                  <input type="text" class="form-control modified-input" name="street_1" id="street" value="{{ isset($willsAndTest->street_1) ? $willsAndTest->street_1: '' }}" placeholder="Street Address">
               </div>
               <div class="form-group mb-3">
                  <label for="street">Street Address2</label>
                  <input type="text" class="form-control modified-input" name="street_2" id="street2" value="{{ isset($willsAndTest->street_2) ? $willsAndTest->street_2 : '' }}" placeholder="Street Address">
               </div>
               <div class="form-group mb-3">
                  <label for="city">City/Town</label>
                  <input value="{{ isset($willsAndTest->city) ? $willsAndTest->city : '' }}" type="text" class="form-control modified-input" name="city" id="city" aria-describedby="cityHelp" placeholder="Any City">
                  <small id="cityHelp" class="form-text text-muted d-none">city</small>
               </div>
               <div class="form-group mb-3">
                  <label for="state">State</label>
                  <input value="{{ isset($willsAndTest->state) ? $willsAndTest->state : '' }}" type="text" class="form-control modified-input" name="state" id="state" placeholder="State">
                  <input id="state_abbreviation" type="hidden" class="form-control modified-input" name="state_abbreviation" placeholder="State Abbreviation" value="">
               </div>
               <div class="form-group mb-3">
                  <label for="country">Country</label>
                  <input type="text" class="form-control modified-input" name="country" id="country" value="{{ isset($willsAndTest->country) ? $willsAndTest->country  : 'United States' }}" placeholder="Country">
                  <input id="country_abbreviation" type="hidden" class="form-control modified-input" name="country_abbreviation" placeholder="State Abbreviation" value="">
               </div>
               <div class="form-group mb-3">
                  <label for="zip">ZIP Code</label>
                  <input type="text" class="form-control modified-input" name="zip_code" id="zip" value="{{ isset($willsAndTest->zip_code) ? $willsAndTest->zip_code : '' }}" placeholder="ZIP Code" maxlength="5">
                  <span class="invalid-zipcode invalid-feedback d-block text-danger" role="alert"></span>
               </div>
               <!-- END - autopopulating from zipcode-->
            </div>
            @endif
            @if(isset($willsAndTest->a_status) && $willsAndTest->a_status == 'someone')
            <div class="step" style="display: block">
               <div class="card-title">Testator Details</div>
               <div class="card-sub-title">Whose Last Will are you creating?</div>
               <div class="form-group mb-3">
                  <label for="name">Name</label>
                  <input value="{{ isset($willsAndTest->full_name) ? $willsAndTest->full_name : '' }}" type="text" class="form-control modified-input" name="full_name" aria-describedby="nameHelp" >
                  <small id="nameHelp" class="form-text text-muted">e.g. William Timothy Smith</small>
               </div>
               <div class="form-group mb-3">
                  <label for="city">City/Town</label>
                  <input value="{{ isset($willsAndTest->city) ? $willsAndTest->city : '' }}" type="text" class="form-control modified-input" name="city" id="city"  aria-describedby="cityHelp" placeholder="Any City">
                  <small id="cityHelp" class="form-text text-muted d-none">city</small>
               </div>
               <div class="form-group mb-3">
                  <label for="state">State</label>
                  <input value="{{ isset($willsAndTest->state) ? $willsAndTest->state : '' }}" type="text" class="form-control modified-input" name="state" id="state" placeholder="State">
               </div>
            </div>
            @endif
            <!-- 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.one') }}'" 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>
              </div>
            </div>
       
            <!-- end previous / next buttons -->
         </div>
      </div>
</div>
@endsection
@section('page-js')
<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>
{{-- 
Developer Name: Theshan Thanushka
Date: April 10, 2024
Description: JavaScript code snippet that utilizes jQuery to populate input fields with user data retrieved via AJAX when a checkbox is checked. If the checkbox is unchecked, it clears the input fields. 

Authour : Gurupriya Solanki
Update  Date : 30 May 2024
Description : added address response in the relevent input
--}}

<script>
   $(document).ready(function(){
       $('#userCheckbox').click(function(){
           if($(this).is(":checked")) {
               $.ajax({
                   url: '{{ route('populateUserData', ['form' => '1']) }}',
                   type: 'GET',
                   success: function(response){
                       $('#full_name').val(response.username);
                       $('#street').val(response.street_1);
                       $('#street2').val(response.street_2);
                       $('#state').val(response.state);
                       $('#city').val(response.city);
                       $('#zip').val(response.zip_code);
                       $('#country').val(response.country);
                   },
                   error: function(xhr){
                       console.log(xhr.responseText);
                   }
               });
           } else {
               // Clear the fields if the checkbox is unchecked
               $('#full_name').val('');
               $('#street').val('');
               $('#street2').val('');
               $('#state').val('');
               $('#city').val('');
               $('#zip').val('');
               $('#country').val('United States');
           }
       });
   });
</script>
 <!-- START - autopopulating from zipcode
   /*
   * Author: Gurupriya Solanki
   * Updated date: 30 May 2024
   * Description: Updated fields according to edit profile page for autopopulating from zipcode
   */
   -->
 <script src="{{ url('fetch_complete_address_by_zipcode.js') }}"></script>
 <!-- END - autopopulating from zipcode-->
@endsection