@extends('layouts.dashboard')
@section('content')
<div class="container">
  <div class="contentbox">
    <div class="contentboxheading"> <i class="las la-poll"></i> @if($lang=='spa') Encuesta de Salud @else Health Survey @endif
        <a id="dwn_pdf" class="btn btn-primary pull-right float-end mt-2 mr10" @if(is_null($encpid)) href="#" @else href="{{url('/health-survey')}}/{{$encpid}}?action=download" @endif>@if($lang=='spa') Descargar formulario @else Download Form @endif</a>
        <select class="form-select chn-lang pull-right mt-2 me-2" style="width:10%;">
          <option value="eng" @if($lang=='eng') selected @endif>English</option>
          <option value="spa" @if($lang=='spa') selected @endif>Spanish</option>
        </select>
    </div>
    @if (session('success'))
    <div class="alert alert-success">{{session('success')}}</div>
    @endif
    <div class="contentboxinner">
      @if($patient)
      <div class="row">
        <div class="subheading">@if($lang=='spa') Detalle del cliente @else Client Detail @endif</div> 
        <div class="col-md-12">
          <div class=" mt-3 mb-3 table-responsive">
              <input type="hidden" id="selected_patient" value="{{$patient->pid}}" readonly>
              <table class="table table-striped" id="tbl_addPatient">
                  <thead>
                      <tr>
                          <th>@if($lang=='spa') identificación @else Id @endif</th>
                          <th>@if($lang=='spa') nombre @else Name @endif</th>
                          <th>@if($lang=='spa') correo electrónico @else Email @endif</th>
                          <th>@if($lang=='spa') nacimiento @else DOB @endif</th>
                          <th>@if($lang=='spa') Número de contacto @else Contact No @endif</th>
                          <th>@if($lang=='spa') Género @else Gender @endif</th>
                          <th>@if($lang=='spa') Calle @else Street @endif</th>
                          <th>@if($lang=='spa') Ciudad @else City @endif</th>
                          <th>@if($lang=='spa') Estado @else State @endif</th>
                          <th>@if($lang=='spa') código postal @else Zip Code @endif</th>
                      </tr>
                  </thead>
                  <tbody>
                    <tr>
                      <td>{{$patient->pid}}</td>
                      <td>{{$patient->fname}} {{$patient->lname}}</td>
                      <td>{{$patient->email}}</td>
                      <td>{{$patient->DOB}}</td>
                      <td>{{$patient->contact_no}}</td>
                      <td>{{$patient->sex}}</td>
                      <td>{{$patient->street}}</td>
                      <td>{{$patient->city}}</td>
                      <td>{{$patient->state}}</td>
                      <td>{{$patient->postal_code}}</td>
                    </tr>
                  </tbody>
              </table>
          </div>
        </div>
      </div>
      @else
      <div class="subheading">@if($lang=='spa') Cliente de búsqueda @else Search Client @endif</div> 
      @include('search.search-patient-form',['lang'=>$lang])
      @endif
      <div class="row mt-1 survey-container" @if(is_null($patient)) style="display:none;" @endif>
        <div class="subheading">@if($lang=='spa') Formulario de encuesta @else Survey Form @endif</div>
        <form id="healthSurvey" method="post">
          @csrf
          <div class="row p-0">
            <div class="table-responsive">
              <table class="table table-striped table-hover">
                <thead>
                    <tr></tr>
                    <tr>
                      <th scope="col"></th>
                      <th scope="col">@if($lang=='spa') Pregunta @else Question @endif</th>
                      <th scope="col">@if($lang=='spa') Respuesta @else Response @endif</th>                              
                      <th></th>
                      <th></th>                             
                    </tr>
                </thead>
                <tbody  class="tabletext">
                  @foreach($data as $datas)
                    <tr>
                      <th scope="row">
                        {{$loop->index+1}}
                      </th>
                      <td>
                        @if($lang=='spa') {{$datas->question_spanish}} @else {{$datas->question}} @endif
                      </td>
                      <td>
                          <label class="radio-inline ">
                            <input type="radio"   name="response[{{$datas->surveyQuestion_Id}}]" value="Yes"> @if($lang=='spa') Sí @else Yes @endif
                          </label>
                      </td>
                      <td> 
                        <label class="radio-inline">
                          <input type="radio"  name="response[{{$datas->surveyQuestion_Id}}]" value="No"> No
                        </label>
                      </td>
                      <td>
                        <label class="radio-inline">
                          <input type="radio"  name="response[{{$datas->surveyQuestion_Id}}]" value="Dont Know">@if($lang=='spa') no lo sé @else Don't Know @endif
                        </label>
                      </td>                               
                    </tr>
                  @endforeach  

                </tbody>
              </table>
            </div>
          </div>
          <div class="text-center">                  
            <button type="button" id="btn_healthSurvey" class="btn btn-primary mt-2 mb-4">@if($lang=='spa') Entregar @else Submit @endif</button>
          </div> 
        </form>
      </div>
    </div>
  </div>
</div>
@endsection

@section('content')

@endsection