@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="3-3-3">
      <div class="multiple-form dashboard-radio">
         <h4>Obituary details</h4>
         <p>Would you like to include a photograph?</p>

         <div class="form">
            <div class="row">
               <div class="col-12">
                  <div class="dashboard-radio-form">
                     <div class="form-check">
                        <input id="obituary_photograph-y" class="form-check-input" name="obituary_photograph" value="yes" type="radio" {{isset($endoflifePlanForm->obituary_death_notice_photograph) && $endoflifePlanForm->obituary_death_notice_photograph == 'yes' ? 'checked' : ''}}>
                        <label for="obituary_photograph-y"><p>Yes</p></label>
                     </div>
                     <div class="form-check">
                        <input id="obituary_photograph-n" class="form-check-input" name="obituary_photograph" value="no" type="radio" {{isset($endoflifePlanForm->obituary_death_notice_photograph) && $endoflifePlanForm->obituary_death_notice_photograph == 'no' ? 'checked' : ''}}>
                        <label for="obituary_photograph-n"><p>No</p></label>
                     </div>
                  </div>
                  <div class="form-group mb-5 mt-5" id="obituary_photograph_details">
                     <label for="Name">Describe the photograph you wish to include and where it can be found:</label>
                     <input value="{{isset($endoflifePlanForm->obituary_photograph_details) ? $endoflifePlanForm->obituary_photograph_details : ''}}" type="text"  name="obituary_photograph_details"  id="obituary_photograph_detail" class="remove_space">
                     <small id="nameHelp" class="form-text text-muted">e.g. I would like the photo of me wearing overalls in the garden to be used. It can be found in my photo album collection.</small>
                     <div id="obituary_photograph_detail_error" class="a-status-error-message text-danger small fw-bold d-none mb-4"></div>
                  </div>
                  

                  <p class="mt-5">Would you like to include funeral or other service details?</p>
                  <div class="dashboard-radio-form">
                     <div class="form-check">
                        <input id="obituary_funeral_service-y" class="form-check-input" name="obituary_funeral_service" value="yes" type="radio" {{isset($endoflifePlanForm->obituary_funeral_service) && $endoflifePlanForm->obituary_funeral_service == 'yes' ? 'checked' : ''}}>
                        <label for="obituary_funeral_service-y"><p>Yes</p></label>
                     </div>
                     <div class="form-check">
                        <input id="obituary_funeral_service-n" class="form-check-input" name="obituary_funeral_service" value="no" type="radio" {{isset($endoflifePlanForm->obituary_funeral_service) && $endoflifePlanForm->obituary_funeral_service == 'no' ? 'checked' : ''}}>
                        <label for="obituary_funeral_service-n"><p>No</p></label>
                     </div>
                  </div>
                  <p class="mt-5">Would you like to request charitable donations instead of flowers?</p>
                  <div class="dashboard-radio-form">
                     <div class="form-check">
                        <input id="obituary_charitable-y" class="form-check-input" name="obituary_charitable" value="yes" type="radio" {{isset($endoflifePlanForm->obituary_charitable_donations) && $endoflifePlanForm->obituary_charitable_donations == 'yes' ? 'checked' : ''}}>
                        <label for="obituary_charitable-y"><p>Yes</p></label>
                     </div>
                     <div class="form-check">
                        <input id="obituary_charitable-n" class="form-check-input" name="obituary_charitable" value="no" type="radio" {{isset($endoflifePlanForm->obituary_charitable_donations) && $endoflifePlanForm->obituary_charitable_donations == 'no' ? 'checked' : ''}}>
                        <label for="obituary_charitable-n"><p>No</p></label>
                     </div>
                  </div>
                  <div id="obituary_charitable_main">
                     <div id="obituary_charitable_holder" class="child-card-holder">
                     @php
                           $charityData = !empty($endoflifePlanForm->obituary_charitable_details)
                              ? json_decode($endoflifePlanForm->obituary_charitable_details, true)
                              : [];
                           $charitySelect = $charityData['charity_select'] ?? null;
                           $charities = $charityData['other_charity'] ?? [];
                     @endphp
                     @if (!empty($charitySelect))
                     <div class="form-group mb-3">
                        <label>Select Charity:</label>
                        <select class="form-control charity-select" name="charity_select">
                           <option value="">-- Select Charity --</option>
                           <option value="Soldiers' Angels" {{ $charitySelect == "Soldiers' Angels" ? 'selected' : '' }}>Soldiers' Angels</option>
                           <option value="WE Charity" {{ $charitySelect == "WE Charity" ? 'selected' : '' }}>WE Charity</option>
                           <option value="Women's Funding Network" {{ $charitySelect == "Women's Funding Network" ? 'selected' : '' }}>Women's Funding Network</option>
                           <option value="Other" {{ $charitySelect == "Other" ? 'selected' : '' }}>Other</option>
                        </select>
                     </div>

                     @if (!empty($charities))                               
                     @foreach($charities as $index => $obituary_charitable)
                           <div class="card list mb-3" id="child">
                              <div class="card-header">
                                 <div class="card-sub-title m-0">Charity</div>
                                 <a class="r-button" onclick="removetList(this)">
                                    <span class="fas fa-times"></span>
                                    <span class="remove">Remove</span>
                                 </a>
                              </div>
                              <div class="card-body">
                                 <div class="form-group mb-3">
                                    <label for="Name">Full Name of Charity:</label>
                                    <input value="{{$obituary_charitable['charity_name']}}" class="validate_text" type="text" id="charity_{{$index}}" name="charity[]">
                                 </div>
                                 <div class="charity_error a-status-error-message text-danger small fw-bold d-none mb-4"></div>
                                 <div class="form-group mb-3">
                                    <label for="Name">Registration number:</label>
                                    <input value="{{$obituary_charitable['registration_number']}}" type="text" class="remove_space" id="registration_number_{{$index}}" name="registration_number[]">
                                    <small id="nameHelp" class="form-text text-muted">e.g. 20-0583415</small>
                                 </div>
                              </div>
                           </div>
                        @endforeach
                        @else
                        <div class="card list mb-3" id="child">
                              <div class="card-header">
                                 <div class="card-sub-title m-0">Other Charity</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="card-body">
                                    <div class="form-group mb-3">
                                       <label for="Name">Full Name of Charity:</label>
                                       <input  type="text"  name="charity[]"  id="charity" class="validate_text">
                                    </div>

                                    <div class="form-group mb-3">
                                       <label for="Name">Registration number:</label>
                                       <input  type="text"  name="registration_number[]" id="registration_number" class="remove_space">
                                       <small id="nameHelp" class="form-text text-muted">e.g. 20-0583415</small>
                                    </div>
                                 </div>
                              </div>
                           </div>
                        @endif
                        @else
                           <div class="form-group mb-3">
                              <label>Select Charity:</label>
                              <select class="form-control charity-select" name="charity_select">
                                 <option value="">-- Select Charity --</option>
                                 <option value="Soldiers' Angels">Soldiers' Angels</option>
                                 <option value="WE Charity">WE Charity</option>
                                 <option value="Women's Funding Network">Women's Funding Network</option>
                                 <option value="Other" selected>Other</option>
                              </select>
                           </div>
                           <div class="card list mb-3" id="child">
                              <div class="card-header">
                                 <div class="card-sub-title m-0">Other Charity</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="card-body">
                                    <div class="form-group mb-3">
                                       <label for="Name">Full Name of Charity:</label>
                                       <input  type="text"  name="charity[]"  id="charity" class="validate_text">
                                    </div>

                                    <div class="form-group mb-3">
                                       <label for="Name">Registration number:</label>
                                       <input  type="text"  name="registration_number[]" id="registration_number" class="remove_space">
                                       <small id="nameHelp" class="form-text text-muted">e.g. 20-0583415</small>
                                    </div>
                                 </div>
                              </div>
                           </div>
                        @endif
                     </div>
                     <div class="add-child mb-5">
                        <a class="add-another" href="#" id="add-obituary-button" onclick="clone('obituary_charitable_holder')">
                        Add another charity</a>
                     </div>
                  </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.three_3_2') }}'">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>
<script>
  $(document).ready(function () {
    // Initial check on page load
    if ($('.charity-select').val() === 'Other') {
      $('#child').show();
    } else {
      $('#child').hide();
    }
    // On change event for charity select
    $('.charity-select').on('change', function () {
      if ($(this).val() === 'Other') {
        $('#child').show();
      } else {
        $('#child').hide();
      }
    });
  });
</script>
@endsection