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

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

@section('content')
@include('frontend.forms.v2.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="multiple-form dashboard-radio">





         @if(isset($willsAndTest->a_status) && $willsAndTest->a_status == 'self')
            <h4>Your details</h4>
            <p>What are your details?</p>
            <div class="form">
               <div class="row">
                  <div class="col-12">

                     <div class="checkbox-item form-check-input-child mb-3">
                        <input class="custom-checkbox" type="checkbox" value="" id="userCheckbox">
                        <label class="form-check-label" for="flexCheckDefault">
                           <p>Auto fill your previous information</p>
                        </label>
                     </div>
                     <div class="form-group mb-3">
                        <label for="name">Name</label>
                        <input value="{{ isset($willsAndTest->full_name) ? $willsAndTest->full_name : '' }}" type="text"  id="full_name" name="full_name" aria-describedby="nameHelp" >
                        <small id="nameHelp" class="form-text text-muted">e.g. William Timothy Smith</small>
                     </div>
                     <div class="form-group mb-3">
                        <label for="street">Street Address1</label>
                        <input type="text"  name="street_1" id="street" value="{{ isset($willsAndTest->street_1) ? $willsAndTest->street_1: '' }}">
                     </div>
                     <div class="form-group mb-3">
                        <label for="street">Street Address2</label>
                        <input type="text"  name="street_2" id="street2" value="{{ isset($willsAndTest->street_2) ? $willsAndTest->street_2 : '' }}">
                     </div>
                     <div class="row">
                        <div class="col-md-6">
                           <div class="form-group mb-3">
                              <label for="country">Country</label>
                              {{-- <input type="text"  name="country" id="country" value="{{ isset($willsAndTest->country) ? $willsAndTest->country  : 'United States' }}"> --}}
                              <input id="country_a" type="hidden"  name="country_a" value=""> 
                              <input type="hidden" id="country_code_value">
                              <input type="hidden" name="country_value" id="country_value" value="{{ isset($willsAndTest->country) ? $willsAndTest->country  : 'United States' }}"/>
                              <select id="author_country" name="country" class="form-control" data-country-dropdown data-country-value="country_value" data-state-dropdown="state_dropdown_a" data-state-value="state_value" data-userdefined-country-code="country_code_value">
                                 <option value="">Select Country</option>
                              </select>
                              <!-- <div id="countryError" class="a-status-error-message text-danger small fw-bold d-none countryError"></div> -->
                           </div>
                        </div>
                        <div class="col-md-6">
                           <div class="form-group mb-3">
                              <label for="state">State</label>
                              {{-- <input value="{{ isset($willsAndTest->state) ? $willsAndTest->state : '' }}" type="text"  name="state" id="state"> --}}
                              <input type="hidden" name="state_value" id="state_value"  value="{{ isset($willsAndTest->state) ? $willsAndTest->state : '' }}"/>
                              <select id="state_dropdown_a" name="state" class="form-control" data-state-dropdown>
                                 <option value="">Select State</option>
                              </select>
                              <!-- <div id="stateError" class="a-status-error-message text-danger small fw-bold d-none stateError"></div> -->
                           </div>
                        </div>
                     </div>
                     <div class="row">
                        <div class="col-md-6">
                           <div class="form-group mb-3">
                              <label for="city">City/Town</label>
                              <input value="{{ isset($willsAndTest->city) ? $willsAndTest->city : '' }}" type="text"  name="city" id="city" aria-describedby="cityHelp">
                              <small id="cityHelp" class="form-text text-muted d-none">city</small>
                           </div>
                        </div>
                        <div class="col-md-6">
                           <div class="form-group mb-3">
                             <input type="hidden" id="userdefinedCountryCode" value="US" />
                              <label for="zip">ZIP Code</label>
                              <input type="text"  name="zip_code" id="zip" value="{{ isset($willsAndTest->zip_code) ? $willsAndTest->zip_code : '' }}" data-zipcode-input maxlength="5" data-message-element="zipcode_message" data-userdefined-country-code="userdefinedCountryCode" data-country-dropdown = "author_country">
                              <span class="invalid-zipcode invalid-feedback d-block text-danger" id="zipcode_message" role="alert"></span>
                           </div>   
                        </div>
                     </div>
                  </div>
               </div>
            </div>
         @endif
         @if(isset($willsAndTest->a_status) && $willsAndTest->a_status == 'someone')
            <h4>Testator Details</h4>
            <p>Whose Last Will are you creating?</p>
            <div class="form">
               <div class="row">
                  <div class="col-12">

                     <div class="form-group mb-3">
                        <label for="name">Name</label>
                        <input value="{{ isset($willsAndTest->full_name) ? $willsAndTest->full_name : '' }}" type="text"  name="full_name" aria-describedby="nameHelp" id = "full_name" >
                        <small id="nameHelp" class="form-text text-muted">e.g. William Timothy Smith</small>
                     </div>
                     <div class="row">
                        <div class="col-md-6">
                           <div class="form-group mb-3">
                              <label for="city">City/Town</label>
                              <input value="{{ isset($willsAndTest->city) ? $willsAndTest->city : '' }}" type="text"  name="city" id="city"  aria-describedby="cityHelp">
                              <small id="cityHelp" class="form-text text-muted d-none">city</small>
                           </div>
                        </div>
                        <div class="col-md-6">
                           <div class="form-group mb-3">
                              <label for="state">State</label>
                              @php
                                 $stateRaw = $willsAndTest->state ?? null;
                                 $stateValue = (ctype_digit((string)$stateRaw))
                                    ? getState((int)$stateRaw)
                                    : ($stateRaw ?: 'Not specified');
                              @endphp

                              <input value="{{ $stateValue }}" type="text" name="state" id="state">
                           </div>
                        </div>
                     </div>
                  </div>
               </div>
            </div>

         @endif



         <!-- start previous / next buttons -->
         <div id="buttonsection" class="submit-button-multiple">
            <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="submit-btn">Save and Continue</button>
            <button type="submit" class="btn btn-light btn-lg d-none" name="preview_submit" value="preview">{{env('PREVIEW_BUTTON_TEXT')}}</button>
         </div>
         <!-- end previous / next buttons -->


      </div>
    </form>
@endsection
@section('page-js')
<script src="{{ url('frontend/assets/js/forms/wills-And-Testament-step.js') }}?v={{ time() }}"></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> -->
 <script src="{{ url('frontend/assets/js/forms/custom.js?v=10.3') }}"></script>
 <script src="{{ url('v2/js/form-validation.js') }}?v={{ time() }}"></script>
 <!-- END - autopopulating from zipcode-->
@endsection