Rapport-Laravel/resources/views/form/rapport-team3/1772185166-46518fe6-2820-47...

554 lines
26 KiB
PHP

<!DOCTYPE html>
<html lang="en">
<head>
@include('layouts.shared/title-meta', ['title' => "Form"])
@include('layouts.shared/head-css', ["mode" => $mode ?? '', "demo" => $demo ?? ''])
<link href="{{asset('assets/libs/sweetalert2/sweetalert2.min.css')}}" rel="stylesheet" type="text/css" />
</head>
<div id="pageloader">
<img src="http://cdnjs.cloudflare.com/ajax/libs/semantic-ui/0.16.1/images/loader-large.gif" alt="processing..." />
</div>
<body class="loading">
<div class="account-pages">
<div class="container">
<div class="row justify-content-center">
<div class="col-md-8 col-lg-6 col-xl-5 p-0">
<div class="card bg-pattern">
<div class="card-body p-3 row">
@if(Session::has('error'))<div class="alert alert-danger">{{Session::get('error')}}</div>
<br>@endif
@if(session('success'))<div class=" alert alert-success">{{ session('success') }}
</div>
<br>@endif
<div class="col-8">
<h4 class="page-title">{{$form->title}}</h4>
</div>
@if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
<div class="col-4">
@if($form->link_type == 'form')
<a href="/form/history" class="float-end pt-1">View History</a>
@else
<a href="{{url()->previous()}}" class="float-end pt-1">Back</a>
@endif
</div>
@endif
@if(isset($form->user_info))
<div class="col-12">
<h6>Submitted By: {{$form->user_info->name}}</h6>
</div>
@endif
<form method="POST" action="/form/submit" id="report-form" enctype="multipart/form-data">
<input type="hidden" name="form_id" value="{{$form_id}}">
<input type="hidden" name="user_id" value="{{$form->user_id}}">
@csrf
@if($id)
<input type="hidden" name="id" value="{{$id}}">
@endif
@if(isset($form->manager_can_submit) && $form->manager_can_submit == true)
<div class="col-md-12 mb-2">
<label for="field-user_id" class="form-label"> Select User / Territory <span class="text-danger">*</span> </label>
<select class="form-control" id="field-user_id" name="user_id" required>
<option value=""> -- Select -- </option>
@foreach($form->users as $option)
<option value="{{$option->value}}" hierarchy="{{$option->hierarchy_id}}" {{isset($question->value) && $question->value == $option->value ? 'selected':''}}>{{$option->display}}</option>
@endforeach
</select>
<input type="hidden" id="field-hierarchy_id" name="hierarchy_id" value="">
</div>
@endif
@foreach($questions as $question)
<div class="col-md-12 mb-2">
<label for="field-{{$question->code}}" class="form-label">{{$question->question}} {!!$question->required == 'yes' ? '<span class="text-danger">*</span>':''!!} </label>
@switch($question->type)
@case('hidden')
<input type="{{$question->type}}" id="field-{{$question->code}}" name="{{$question->code}}" value="{{isset($question->value)?$question->value:''}}">
@break
@case('text')
@case('email')
@case('tel')
@case('date')
<input type="{{$question->type}}" id="field-{{$question->code}}" name="{{$question->code}}" class="form-control" {{$question->required == 'yes'?'required':'' }} value="{{isset($question->value)?$question->value:''}}">
@break
@case('number')
<input type="{{$question->type}}" min="0" max="9999999999" step="1" id="field-{{$question->code}}" name="{{$question->code}}" class="form-control" {{$question->required == 'yes'?'required':'' }} value="{{isset($question->value)?$question->value:0}}">
@break
@case('textarea')
<textarea id="field-{{$question->code}}" name="{{$question->code}}" class="form-control" {{$question->required == 'yes'?'required':'' }}>{{isset($question->value)?$question->value:''}}</textarea>
@break
@case('dropdown')
<select class="form-control" id="field-{{ $question->code }}" name="{{ $question->code }}" {{ $question->required == 'yes' ? 'required' : '' }}>
<option value=""> -- Select -- </option>
@foreach ($question->options as $option)
<option value="{{ $option->value }}" {{ isset($question->value) && $question->value == $option->value ? 'selected' : '' }}
{{ $question->code == 'contact_id' ? 'msl_code= ' . $option->contact->msl_code . ' ' : '' }}
{{ $question->code == 'contact_id' ? 'speciality= ' . (isset($option->contact->speciality) ? $option->contact->speciality :'') . ' ' : '' }} >
{{ $option->display }}
</option>
@endforeach
</select>
@break
@case('checkbox')
@foreach($question->options as $index => $option)
<div class="form-check mb-2 form-check-primary">
<input class="form-check-input" type="checkbox" id="field-{{$question->code}}-{{$option->value}}" name="{{$question->code}}[]" value="{{$option->value}}" {{isset($question->value) && $question->value != '' && in_array($option->value, $question->value) ? 'checked':''}} >
<label class="form-check-label" for="field-{{$question->code}}-{{$option->value}}">{{$option->display}}</label>
</div>
@endforeach
@break
@case('file')
@if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
<input type="file" id="field-{{$question->code}}" name="{{$question->code}}" class="form-control" value="" {{$question->required == 'yes'?'required':'' }}>
@elseif(isset($question->value))
<img src="{{$question->value}}" class="img-fluid">
@endif
@break
@case('multitextbox')
<div class="row">
@foreach($question->options as $option)
<div class="col-6">{{$option->display}}</div>
<div class="col-6 mb-1">
<input type="number" id="field-{{$option->value}}" name="{{$option->value}}" class="form-control" required value="{{isset($option->val)?$option->val:0}}">
</div>
@endforeach
</div>
@break
@endswitch
</div>
@endforeach
@if(!isset($form->is_approval) || (isset($form->is_approval) && $form->is_approval != 'yes' ) )
<div class="text-center d-grid mt-3">
<button class="btn btn-primary" type="submit" id="submit-btn"> Submit </button>
</div>
@endif
</form>
</div> <!-- end card-body -->
</div>
<!-- end card -->
<!-- end row -->
</div> <!-- end col -->
</div>
<!-- end row -->
</div>
<!-- end container -->
</div>
<!-- end page -->
<style type="text/css">
#pageloader {
background: rgba( 255, 255, 255, 0.8 );
display: none;
height: 100%;
position: fixed;
width: 100%;
z-index: 9999;
}
#pageloader img {
left: 50%;
margin-left: -32px;
margin-top: -32px;
position: absolute;
top: 50%;
}
</style>
@include('layouts.shared/footer-script')
<script src="{{asset('assets/libs/sweetalert2/sweetalert2.min.js')}}"></script>
<script type="text/javascript">
jQuery(document).ready(function($){
$('#field-user_id').change(function(){
let hierarchy = $('option:selected', this).attr('hierarchy');
$('#field-hierarchy_id').val(hierarchy)
event.preventDefault();
$.ajax({
type: "GET",
url: '/form/getdoctorlist?partition={{$form->partition}}&hierarchy='+hierarchy,
processData: false,
contentType: false,
success: function( data ) {
$("#pageloader").fadeOut();
$('#field-contact_id').html('')
$('#field-contact_id').append($("<option></option>").attr("value",'').text('-- Select --'));
for (let itm of data) {
$('#field-contact_id').append($("<option></option>").attr("value",itm.value).text(itm.display).attr("msl_code", itm.contact.msl_code));
}
$('#field-contact_id').change(function() {
$('#field-msl_code').val($('option:selected', this).attr('msl_code'))
})
},
});
console.log(hierarchy)
})
$('#field-contact_id').change(function() {
$('#field-speciality').val($('option:selected', this).attr('speciality'))
})
$('#field-contact_id').change(function() {
$('#field-msl_code').val($('option:selected', this).attr('msl_code'))
})
$('#field-if_no_way,#field-other_trigger_for_patient_inquiry,#field-other_factors_when_stocking_a_nebulizer_brand,#field-chemist_attached_to_other').parent().hide();
$('#field-if_no_way,#field-other_trigger_for_patient_inquiry,#field-other_factors_when_stocking_a_nebulizer_brand,#field-chemist_attached_to_other').prop('required',false);
$('#field-chemist_attached_to-Other').on('change',function(){
let check=$(this).is(":checked");
if(check){
$('#field-chemist_attached_to_other').parent().show();
$('#field-chemist_attached_to_other').attr('required',true);
}
else{
$('#field-chemist_attached_to_other').parent().hide();
$('#field-chemist_attached_to_other').attr('required',false);
}
})
$('#field-nebulizers_kept_in_regular_stock-No').on('change',function(){
let check=$(this).is(":checked");
if(check){
$('#field-if_no_way').parent().show();
$('#field-if_no_way').attr('required',true);
}
else{
$('#field-if_no_way').parent().hide();
$('#field-if_no_way').attr('required',false);
}
})
$('#field-what_matters_most_to_you_when_stocking_nebulizer_brand-Other').on('change',function(){
let check=$(this).is(":checked");
if(check){
$('#field-other_factors_when_stocking_a_nebulizer_brand').parent().show();
$('#field-other_factors_when_stocking_a_nebulizer_brand').attr('required',true);
}
else{
$('#field-other_factors_when_stocking_a_nebulizer_brand').parent().hide();
$('#field-other_factors_when_stocking_a_nebulizer_brand').attr('required',false);
}
})
$('#field-what_is_the_main_trigger_for_patient_inquiry-Other').on('change',function(){
let check=$(this).is(":checked");
if(check){
$('#field-other_trigger_for_patient_inquiry').parent().show();
$('#field-other_trigger_for_patient_inquiry').attr('required',true);
}
else{
$('#field-other_trigger_for_patient_inquiry').parent().hide();
$('#field-other_trigger_for_patient_inquiry').attr('required',false);
}
})
$('input[name="chemist_attached_to[]"]').on('change', function () {
if ($(this).is(':checked')) {
// Uncheck all except current
$('input[name="chemist_attached_to[]"]').not(this).prop('checked', false);
if ($(this).attr('id') !== 'field-chemist_attached_to-Other') {
$('#field-chemist_attached_to_other').parent().hide();
$('#field-chemist_attached_to_other').prop('required', false);
$('#field-chemist_attached_to_other').val('');
}
}
});
$('#field-chemist_name, #field-region_area').on('input', function () {
this.value = this.value.replace(/[^a-zA-Z ]/g, '');
});
$('input[name="nebulizers_kept_in_regular_stock[]"]').on('change', function () {
if ($(this).is(':checked')) {
// Uncheck all except current
$('input[name="nebulizers_kept_in_regular_stock[]"]').not(this).prop('checked', false);
if ($(this).attr('id') !== 'field-nebulizers_kept_in_regular_stock-No') {
$('#field-if_no_way').parent().hide();
$('#field-if_no_way').prop('required', false);
$('#field-if_no_way').val('');
}
}
});
$('input[name="how_many_brands_are_readily[]"]').on('change', function () {
if ($(this).is(':checked')) {
// Uncheck all except current
$('input[name="how_many_brands_are_readily[]"]').not(this).prop('checked', false);
}
});
$('input[name="in_30_days_how_many_nebulizer_purchases[]"]').on('change', function () {
if ($(this).is(':checked')) {
// Uncheck all except current
$('input[name="in_30_days_how_many_nebulizer_purchases[]"]').not(this).prop('checked', false);
}
});
$('input[name="average_nebulizer_cost_purchased_by_patients[]"]').on('change', function () {
if ($(this).is(':checked')) {
// Uncheck all except current
$('input[name="average_nebulizer_cost_purchased_by_patients[]"]').not(this).prop('checked', false);
}
});
$('input[name="how_much_discount_are_given_on_current_nebulizer[]"]').on('change', function () {
if ($(this).is(':checked')) {
// Uncheck all except current
$('input[name="how_much_discount_are_given_on_current_nebulizer[]"]').not(this).prop('checked', false);
}
});
$('input[name="how_often_do_companies_provide_rate_discounts[]"]').on('change', function () {
if ($(this).is(':checked')) {
// Uncheck all except current
$('input[name="how_often_do_companies_provide_rate_discounts[]"]').not(this).prop('checked', false);
}
});
$('label[for="field-record_date"]').html("Date<span class='text-danger'>*</span>");
$('label[for="field-chemist_name"]').html("Chemist Name<span class='text-danger'>*</span>");
$('label[for="field-region_area"]').html("Region / Area name<span class='text-danger'>*</span>");
$('label[for="field-chemist_attached_to"]').html("Chemist attached to<span class='text-danger'>*</span>");
$('label[for="field-chemist_attached_to_other"]').html("Chemist attached to (Other)<span class='text-danger'>*</span>");
$('label[for="field-nebulizers_kept_in_regular_stock"]').html("Nebulizers kept in regular stock ?<span class='text-danger'>*</span>");
$('label[for="field-if_no_way"]').html("If No, why?<span class='text-danger'>*</span>");
$('label[for="field-how_many_brands_are_readily"]').html("How many brands are readily available in regular stock?<span class='text-danger'>*</span>");
$('label[for="field-in_30_days_how_many_nebulizer_purchases"]').html("In 30 days, how many nebulizer purchases have been completed?<span class='text-danger'>*</span>");
$('label[for="field-what_is_the_main_trigger_for_patient_inquiry"]').html("What is the main trigger for patient inquiry?<span class='text-danger'>*</span>");
$('label[for="field-other_trigger_for_patient_inquiry"]').html("Other Trigger for patient inquiry?<span class='text-danger'>*</span>");
$('label[for="field-brand_1"]').html("Top 3 brands asked by name from customers<br>Brand 1<span class='text-danger'>*</span>");
$('label[for="field-brand_2"]').html("Brand 2");
$('label[for="field-brand_3"]').html("Brand 3");
$('label[for="field-average_nebulizer_cost_purchased_by_patients"]').html("Average Nebulizer cost purchased by patients?<span class='text-danger'>*</span>");
$('label[for="field-how_much_discount_are_given_on_current_nebulizer"]').html("How much discount % are given on current available nebulizer machines in the market?<span class='text-danger'>*</span>");
$('label[for="field-how_often_do_companies_provide_rate_discounts"]').html("How often do companies provide rate discounts / incentives?<span class='text-danger'>*</span>");
$('label[for="field-what_matters_most_to_you_when_stocking_nebulizer_brand"]').html("What matters most to you when stocking a nebulizer brand?<span class='text-danger'>*</span>");
$('label[for="field-other_factors_when_stocking_a_nebulizer_brand"]').html("Other factor that matters<span class='text-danger'>*</span>");
// $('#report-form').on('submit', function(event){
// event.preventDefault();
// if ($('input[name="chemist_attached_to[]"]:checked').length === 0) {
// event.preventDefault();
// alert('Please select at least one option for Chemist attached to.');
// }
// if ($('input[name="nebulizers_kept_in_regular_stock[]"]:checked').length === 0) {
// event.preventDefault();
// alert('Please select at least one option for Nebulizers kept in regular stock.');
// }
// if ($('input[name="how_many_brands_are_readily[]"]:checked').length === 0) {
// event.preventDefault();
// alert('Please select at least one option for Nebulizers kept in regular stock.');
// }
// if ($('input[name="in_30_days_how_many_nebulizer_purchases[]"]:checked').length === 0) {
// event.preventDefault();
// alert('Please select at least one option for Nebulizers kept in regular stock.');
// }
// if ($('input[name="what_is_the_main_trigger_for_patient_inquiry[]"]:checked').length === 0) {
// event.preventDefault();
// alert('Please select at least one option for Nebulizers kept in regular stock.');
// }
// if ($('input[name="average_nebulizer_cost_purchased_by_patients[]"]:checked').length === 0) {
// event.preventDefault();
// alert('Please select at least one option for Nebulizers kept in regular stock.');
// }
// if ($('input[name="how_much_discount_are_given_on_current_nebulizer[]"]:checked').length === 0) {
// event.preventDefault();
// alert('Please select at least one option for Nebulizers kept in regular stock.');
// }
// if ($('input[name="how_often_do_companies_provide_rate_discounts[]"]:checked').length === 0) {
// event.preventDefault();
// alert('Please select at least one option for Nebulizers kept in regular stock.');
// }
// if ($('input[name="what_matters_most_to_you_when_stocking_nebulizer_brand[]"]:checked').length === 0) {
// event.preventDefault();
// alert('Please select at least one option for Nebulizers kept in regular stock.');
// }
// const formData = new FormData($('#report-form')[0]);
// // Log form data to console
// for (let [key, value] of formData.entries()) {
// console.log(key, value);
// }
// $("#pageloader").fadeIn();
// $.ajax({
// type: "POST",
// url: '/form/ajaxsubmit',
// data: new FormData($('#report-form')[0]),
// processData: false,
// contentType: false,
// success: function( data ) {
// $("#pageloader").fadeOut();
// if(data.status == 'success') {
// Swal.fire({
// title: 'Great!',
// text: 'Your data is successfully submitted!',
// icon: 'success'
// })
// $('#report-form').trigger("reset");
// } else {
// Swal.fire({
// icon: 'error',
// title: 'Data not submitted',
// text: 'Something went wrong, please try again after some time!'
// })
// }
// },
// });
// });
$('#report-form').on('submit', function(event){
event.preventDefault();
let checkboxGroups = [
'chemist_attached_to[]',
'nebulizers_kept_in_regular_stock[]',
'how_many_brands_are_readily[]',
'in_30_days_how_many_nebulizer_purchases[]',
'what_is_the_main_trigger_for_patient_inquiry[]',
'average_nebulizer_cost_purchased_by_patients[]',
'how_much_discount_are_given_on_current_nebulizer[]',
'how_often_do_companies_provide_rate_discounts[]',
'what_matters_most_to_you_when_stocking_nebulizer_brand[]'
];
let isValid = true;
for (let i = 0; i < checkboxGroups.length; i++) {
if ($('input[name="'+checkboxGroups[i]+'"]:checked').length === 0) {
isValid = false;
alert('Please select at least one option for all required questions.');
break; // stop checking further
}
}
if (!isValid) {
return; // 🔥 STOP here — do NOT run AJAX
}
// If validation passed, run AJAX
const formData = new FormData($('#report-form')[0]);
$("#pageloader").fadeIn();
$.ajax({
type: "POST",
url: '/form/ajaxsubmit',
data: formData,
processData: false,
contentType: false,
success: function(data) {
$("#pageloader").fadeOut();
if(data.status == 'success') {
Swal.fire({
title: 'Great!',
text: 'Your data is successfully submitted!',
icon: 'success'
});
$('#report-form').trigger("reset");
} else {
Swal.fire({
icon: 'error',
title: 'Data not submitted',
text: 'Something went wrong, please try again after some time!'
});
}
},
});
});
var today = new Date();
var dd = String(today.getDate()).padStart(2, '0');
var mm = String(today.getMonth() + 1).padStart(2, '0');
var yyyy = today.getFullYear();
today = yyyy + '-' + mm + '-' + dd;
var plandateField = document.getElementById('field-record_date');
plandateField.setAttribute('max', today);
});
</script>
</body>
</html>