@extends('layouts.v2.frontend-user-backend')

@section('title', '| FREE END-OF-LIFE PLAN')

@section('content')
@include('frontend.forms.v2.End-Of-Life-Plan.stepIndicator')
    <form action="{{route('EndoflifePlanFormStore')}}" method="POST" id="signUpForm">
      @csrf
      <input type="hidden" id="stepInput" name="step" value="5-f-4">
					  		  
      <div class="multiple-form dashboard-radio">
         <h4>Your funeral</h4>
         <p>Would you like to leave specific instructions for your funeral?</p>

         <div class="form">
            <div class="row">
               <div class="col-12">
                  @php
                     $service = json_decode($endoflifePlanForm->funeral_service_y, true);
                  @endphp
                  <div class="dashboard-radio-form">
                     <div class="form-check">
                        <input id="your_funeral-y" class="form-check-input" name="your_funeral" value="yes" type="radio" {{ isset($service['services_av']) && $service['services_av'] === 'yes' ? 'checked' : '' }}>
                        <label for="your_funeral-y"><p>Yes</p></label>
                     </div>
                     <div class="form-check">
                        <input id="your_funeral-n" class="form-check-input" name="your_funeral" value="no" type="radio" {{ isset($service['services_av']) && $service['services_av'] === 'no' ? 'checked' : '' }}>
                        <label for="your_funeral-n"><p>No</p></label>
                     </div>
                  </div>
                  <div id="y_funeral_holder">
                     <p class="my-5">What type of service would you like? (Select all that apply.)</p>
                     <div class="form-check my-3" id="form-check-label-custom">
                        <input class="form-check-input" name="funeral_service[]" type="checkbox" value="location" id="pp" {{ isset($service['type']) && in_array('location', $service['type']) ? 'checked' : '' }}>
                        <label class="form-check-label ms-3" for="flexCheckDefault">
                        <p>Location</p>
                        </label>
                     </div>
                     <div class="form-check my-3" id="form-check-label-custom">
                        <input class="form-check-input" name="funeral_service[]" type="checkbox" value="officiant" id="pp" {{ isset($service['type']) && in_array('officiant', $service['type']) ? 'checked' : '' }}>
                        <label class="form-check-label ms-3" for="flexCheckDefault">
                        <p>Officiant</p>
                        </label>
                     </div>
                     <div class="form-check my-3" id="form-check-label-custom">
                        <input class="form-check-input" name="funeral_service[]" type="checkbox" value="guests" id="pp" {{ isset($service['type']) && in_array('guests', $service['type']) ? 'checked' : '' }}>
                        <label class="form-check-label ms-3" for="flexCheckDefault">
                        <p>Guests</p>
                        </label>
                     </div>
                     <div class="form-check my-3" id="form-check-label-custom">
                        <input class="form-check-input" name="funeral_service[]" type="checkbox" value="ashes" id="pp" {{ isset($service['type']) && in_array('ashes', $service['type']) ? 'checked' : '' }}>
                        <label class="form-check-label ms-3" for="flexCheckDefault">
                        <p>Viewing of Ashes</p>
                        </label>
                     </div>
                     <div class="form-check my-3" id="form-check-label-custom">
                        <input class="form-check-input" name="funeral_service[]" type="checkbox" value="music" id="pp" {{ isset($service['type']) && in_array('music', $service['type']) ? 'checked' : '' }}>
                        <label class="form-check-label ms-3" for="flexCheckDefault">
                        <p>Music/Readings</p>
                        </label>
                     </div>
                     <div class="form-check my-3" id="form-check-label-custom">
                        <input class="form-check-input" name="funeral_service[]" type="checkbox" value="eulogy" id="pp" {{ isset($service['type']) && in_array('eulogy', $service['type']) ? 'checked' : '' }}>
                        <label class="form-check-label ms-3" for="flexCheckDefault">
                        <p>Eulogy</p>
                        </label>
                     </div>
                     <div class="form-check my-3" id="form-check-label-custom">
                        <input class="form-check-input" name="funeral_service[]" type="checkbox" value="reception" id="pp" {{ isset($service['type']) && in_array('reception', $service['type']) ? 'checked' : '' }}>
                        <label class="form-check-label ms-3" for="flexCheckDefault">
                        <p>Reception</p>
                        </label>
                     </div>
                     <div class="form-check my-3" id="form-check-label-custom">
                        <input class="form-check-input" name="funeral_service[]" type="checkbox" value="other" id="pp" {{ isset($service['type']) && in_array('other', $service['type']) ? 'checked' : '' }}>
                        <label class="form-check-label ms-3" for="flexCheckDefault">
                        <p>Other</p>
                        </label>
                     </div>
                  </div>

                  <div class="funeral_service_error text-danger small fw-bold mt-2"></div>
               </div>
            </div>
         </div>
         <!-- start previous / next buttons -->
         <div id="buttonsection" class="submit-button-multiple">
               <button type="button" onclick="window.location.href = '{{ route('endoflifePlan.create.step.five_funeral-1') }}'">Back</button>
               <button type="submit" class="submit-btn">Save and Continue</button>
               <button type="submit" class="d-none" name="preview_submit" value="preview">{{env('PREVIEW_BUTTON_TEXT')}}</button>
               <button type="button" class="skip-btn d-none">Skip Step</button>
         </div>
         <!-- end previous / next buttons -->
      </div>
    </form>	  
@endsection
@section('page-js')
<script src="{{ url('frontend/assets/js/forms/end-of-life-plan-multi-step.js') }}?v={{ time() }}"></script>
<script src="{{ url('frontend/assets/js/forms/custom.js?v=10.3') }}"></script>
<script src="{{ url('v2/js/form-validation.js') }}?v={{ time() }}"></script>
@endsection