@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-o-2">
      <div class="multiple-form dashboard-radio">
         <h4>Additional instructions</h4>
         <p>Do you wish to include any other instructions regarding your service?</p>

         <div class="form">
            <div class="row">
               <div class="col-12">
                  <div class="dashboard-radio-form">
                     <div class="form-check">
                        <input id="graveside_service-y" class="form-check-input" name="in_memorial_service" value="yes" type="radio"  {{ isset($endoflifePlanForm->in_memorial_service) &&  $endoflifePlanForm->in_memorial_service == "yes" ? 'checked' : ''}}>
                        <label for="graveside_service-y"><p>Yes</p></label>
                     </div>
                     <div class="form-check">
                        <input id="graveside_service-n" class="form-check-input" name="in_memorial_service" value="no" type="radio"  {{ isset($endoflifePlanForm->in_memorial_service) &&  $endoflifePlanForm->in_memorial_service == "no" ? 'checked' : ''}}>
                        <label for="graveside_service-n"><p>No</p></label>
                     </div>
                  </div>
               </div>
            </div>
            <div class="row">
               <div id="graveside_service_holder" class="child-card-holder">
                  <div id="graveside_service_12">
                     @php
                        $other_minstructionsArray = json_decode($endoflifePlanForm->other_service_instructions, true)
                     @endphp
                     @if(!empty($endoflifePlanForm->other_service_instructions) && count($other_minstructionsArray) > 0)                                 
                     @foreach($other_minstructionsArray as $index => $details)
                        <div class="card list mt-4" id="child">
                           <div class="card-header">
                              <div class="card-sub-title m-0">Describe your wishes in complete sentences:</div>
                              <a class="r-button" onclick="removetList(this)">
                                 <span class="fas fa-times"></span>
                                 <span class="remove">Remove</span>
                              </a>
                           </div> 
                           <div class="form-group my-5">
                              <input type="text"  value="{{$details['detail']}}" name="memorial_describe[]" id ="memorial_describe_{{$index}}"  aria-describedby="memorialDescribe" placeholder="">
                              <small id="memorialDescribe" class="form-text text-muted">e.g. I would like my family and friends to have the opportunity to speak at my vigil.</small>
                           </div>
                        </div>
                     @endforeach
                     @else
                     <div class="card list mt-4" id="child">
                        <div class="card-header">
                           <div class="card-sub-title m-0">Describe your wishes in complete sentences:</div>
                           <a class="r-button" onclick="removetList(this)">
                              <span class="fas fa-times"></span>
                              <span class="remove">Remove</span>
                           </a>
                        </div> 
                        <div class="form-group my-5">
                           <input type="text" id = "memorial_describe" name="memorial_describe[]" aria-describedby="memorialDescribe" placeholder="">
                           <small id="memorialDescribe" class="form-text text-muted">e.g. I would like my family and friends to have the opportunity to speak at my vigil.</small>
                        </div>
                     </div>
                     @endif
                  </div>
                  <div class="add-child">
                     <a href="#" id="add-another-child" class="add-another" onclick="clone('graveside_service_12')" class="add-button">
                        
                        Add another instruction
                     </a>
                  </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_other-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