@extends('layouts.pdf')
@section('content')
<div class="subheading">@if($lang=='spa') Detalle del cliente @else Client Detail @endif</div>

<table class="table table-striped" cellpadding="5" style="font-size: 13px;">
  <tbody>
    <tr>
        <td><b>@if($lang=='spa') identificación @else Id @endif</b></td><td>{{$patient->pid}}</td>
    </tr>
    <tr>
        <td><b>@if($lang=='spa') nombre @else Name @endif</b></td><td>{{$patient->fname}} {{$patient->lname}}</td>
    </tr>
    <tr>
        <td><b>@if($lang=='spa') correo electrónico @else Email @endif</b></td><td>{{$patient->email}}</td>
    </tr>
    <tr>
        <td><b>@if($lang=='spa') nacimiento @else DOB @endif</b></td><td>{{$patient->DOB}}</td>
    </tr>
    <tr>
        <td><b>@if($lang=='spa') Número de contacto @else Contact No @endif</b></td><td>{{$patient->contact_no}}</td>
    </tr>
    <tr>
        <td><b>@if($lang=='spa') Género @else Gender @endif</b></td><td>{{$patient->sex}}</td>
    </tr>
    <tr>
        <td><b>@if($lang=='spa') Calle @else Street @endif</b></td><td>{{$patient->street}}</td>
    </tr>
    <tr>
        <td><b>@if($lang=='spa') Ciudad @else City @endif</b></td><td>{{$patient->city}}</td>
    </tr>
    <tr>
        <td><b>@if($lang=='spa') Estado @else State @endif</b></td><td>{{$patient->state}}</td>
    </tr>
    <tr>
        <td><b>@if($lang=='spa') código postal @else Zip Code @endif</b></td><td>{{$patient->postal_code}}</td>
    </tr>
  </tbody>
</table>

<div class="subheading" style="margin-top:20px;">@if($lang=='spa') Formulario de encuesta @else Survey Form @endif</div>
<div class="row p-0">
  <div class="table-responsive">
    <table class="table table-striped table-hover" style="font-size: 13px;">
      <thead>
          <tr>
            <th scope="col"></th>
            <th scope="col" style="text-align:left;">@if($lang=='spa') Pregunta @else Question @endif</th>
            <th scope="col">@if($lang=='spa') Respuesta @else Response @endif</th>
            <th scope="col"></th>
            <th scope="col"></th>
          </tr>
      </thead>
      <tbody  class="tabletext">
        @foreach($data as $datas)
          <tr><td colspan="5" style="height:8px;"></td></tr>
          <tr>
            <th scope="row" style="vertical-align:top; width:2%;">
              {{$loop->index+1}}.
            </th>
            <td style="vertical-align:top; display:block; margin-right:2%;">
              @if($lang=='spa') {{$datas->question_spanish}} @else {{$datas->question}} @endif
            </td>
            <td style="vertical-align:top; width:8%;">
              <input type="radio" name="response[{{$datas->surveyQuestion_Id}}]" value="Yes"><span style="vertical-align:middle;">&nbsp;@if($lang=='spa') Sí @else Yes @endif</span>
            </td>
            <td style="vertical-align:top; width:8%;"> 
              <input type="radio" name="response[{{$datas->surveyQuestion_Id}}]" value="No"><span style="vertical-align:middle;">&nbsp;No</span>
            </td>
            <td style="vertical-align:top; width:15%;">
              <input type="radio" name="response[{{$datas->surveyQuestion_Id}}]" value="Dont Know"><span style="vertical-align:middle;">&nbsp;@if($lang=='spa') no lo sé @else Don't Know @endif</span>
            </td>                               
          </tr>
        @endforeach
      </tbody>
    </table>
  </div>
</div>
@endsection