{% extends APPOINTMENT_BASE_TEMPLATE %}
{% load i18n %}
{% load static %}
{% block customCSS %}
    <link rel="stylesheet" type="text/css" href="{% static 'css/appointments-user-details.css' %}"/>
{% endblock %}
{% block title %}
    {% blocktranslate %}
        Client Information - {{ ar.get_service_name }}
    {% endblocktranslate %}
{% endblock %}
{% block description %}
    {% blocktranslate %}
        Your appointment request for {{ ar.get_service_name }} has been submitted. Please provide your information to
        create an account and complete the payment process.
    {% endblocktranslate %}
{% endblock %}
{% block body %}
    <div class="main-container">
        <div class="body-container">
            {% if messages %}
                {% for message in messages %}
                    <div class="alert alert-dismissible {% if message.tags %}alert-{% if message.level == DEFAULT_MESSAGE_LEVELS.ERROR %}danger{% else %}{{ message.tags }}{% endif %}{% endif %}"
                         role="alert">{{ message }}</div>
                {% endfor %}
            {% endif %}

            <form method="post"
                  action="{% url 'appointment:appointment_client_information' ar.id ar.get_id_request %}"
                  class="page-body">
                {% csrf_token %}
                <div class="appointment-user-info">
                    <div class="appointment-user-info-title">
                        <div class="title">
                            {% trans "Fill out your details" %}
                        </div>
                    </div>
                    <hr class="second-part">
                    <div class="user-info-input">
                        <div class="user-info" id="user-info">
                            <h1 class="description-title">{% trans "Tell us a bit about yourself" %}</h1>
                            <div class="already-have-account">
                                <!--<div>
                                    {#{% trans 'Already have an account?' %}
                                    <a href="#">{% trans 'Log in' %}</a> {% trans 'for faster booking.' %}#}
                                </div>-->
                                <div>
                                    {% trans 'All the fields with the * are mandatory.' %}
                                </div>
                            </div>
                            <div class="name-email">
                                <label for="name" class="name">{% trans "Full Name" %} *<br>
                                    <input type="text" placeholder="Full Name *" id="name" class="client-name"
                                           maxlength="100" minlength="3" required name="name">
                                </label>
                                <label for="email" class="email">{% trans "Email" %} *<br>
                                    <input type="email" placeholder="john.doe@gmail.com" id="email"
                                           class="client-email" name="email"
                                           maxlength="100" required>
                                </label>
                            </div>
                            <div class="receive-email">
                                <label for="receive-email">
                                    <input type="checkbox" id="receive-email" name="want_reminder">
                                    {% trans "I want to receive an EMAIL reminder 24 hours before this session starts" %}
                                </label>
                            </div>
                            <div class="phone-number">
                                <label for="phone">{% trans "Phone Number" %} *<br>
                                    <input type="tel" placeholder="7574340000" id="phone" class="client-phone"
                                           maxlength="20" name="phone" required>
                                </label>
                            </div>
                            <div class="address">
                                <label for="id_address">{% trans "City and State" %} * :<br>
                                    <input type="text" id="id_address"
                                           placeholder="{% trans 'Does not have to be specific, just the city and the state...' %}"
                                           name="address" required>
                                </label>
                            </div>
                            <div class="additional-information">
                                <label for="additional-information">Additional Information<br>
                                    <textarea id="additional-information" name="additional_info"></textarea>
                                </label>
                            </div>
                        </div>
                    </div>
                </div>
                <div class="service-description-and-pay">
                    <div class="service-details-title">{% trans "Service Details" %}</div>

                    <hr class="second-part">

                    <div class="service-description-content">
                        <div class="item-name">{{ ar.get_service_name }}</div>
                        <div id="service-datetime-chosen"
                             class="service-datetime-chosen">
                            {{ ar.date }}&nbsp;{% trans "at" %}&nbsp;{{ ar.start_time }}
                        </div>
                        <div>{{ ar.get_service_duration }} {% trans 'hr' %}</div>
                    </div>

                    <hr class="second-part">
                    {% if ar.is_a_paid_service %}
                        <div class="service-payment">
                            <div class="payment-details-title">{% trans "Payment Details" %}</div>
                            <div class="total">
                                <div>{% trans "Total" %}</div>
                                <div>${{ ar.get_service_price }}</div>
                            </div>
                            <div class="payment-options">
                                <button type="submit" class="btn btn-dark btn-pay-full" name="payment_type"
                                        value="full">
                                    {% trans "Pay" %}
                                </button>
                                <button type="submit" class="btn btn-dark btn-pay-down-payment" name="payment_type"
                                        value="down">
                                    {% trans "Pay DP" %} (${{ ar.get_service_down_payment }})
                                </button>
                            </div>
                        </div>
                    {% else %}
                        <button type="submit" class="btn btn-dark btn-submit-appointment">{{ buttonNext }}</button>
                    {% endif %}

                </div>
            </form>
        </div>
    </div>
{% endblock %}
{% block customJS %}
    <script>
        document.addEventListener('DOMContentLoaded', function () {
            const messageElements = document.querySelectorAll('.alert-dismissible');
            setTimeout(function () {
                messageElements.forEach(function (element) {
                    element.style.display = 'none';
                });
            }, 3000);
        });
    </script>
{% endblock %}