@extends('layouts.app')

@section('title', 'Health Questionnaire - ' . $healthQuestionnaire->title)

@section('content')
<div class="min-h-screen bg-gray-900 py-12">
    <div class="max-w-4xl mx-auto px-4 sm:px-6 lg:px-8">
        <!-- Header -->
        <div class="text-center mb-8">
            <h1 class="text-4xl font-bold text-white mb-4">{{ $healthQuestionnaire->title }}</h1>
            @if($healthQuestionnaire->description)
                <p class="text-gray-300 text-lg">{{ $healthQuestionnaire->description }}</p>
            @endif
            <div class="mt-4 text-sm text-gray-400">
                <i class="fas fa-info-circle mr-1"></i>
                Please answer all questions honestly and completely. This information helps ensure your safety.
            </div>
        </div>

        @if(session('success'))
            <div class="bg-green-600 text-white p-4 rounded-lg mb-8">
                <i class="fas fa-check-circle mr-2"></i>
                {{ session('success') }}
            </div>
        @endif

        @if($errors->any())
            <div class="bg-red-600 text-white p-4 rounded-lg mb-8">
                <h4 class="font-semibold mb-2">Please fix the following errors:</h4>
                <ul class="list-disc list-inside">
                    @foreach($errors->all() as $error)
                        <li>{{ $error }}</li>
                    @endforeach
                </ul>
            </div>
        @endif

        <!-- Form -->
        <form action="{{ route('health-questionnaire.public.store', $healthQuestionnaire) }}" method="POST" class="space-y-8">
            @csrf

            <!-- Client Selection (this would typically be passed as a parameter or session) -->
            <div class="bg-gray-800 rounded-lg p-6">
                <h3 class="text-xl font-semibold text-white mb-4">Client Information</h3>
                <div>
                    <label for="client_id" class="block text-sm font-medium text-gray-300 mb-2">
                        Select Your Profile <span class="text-red-500">*</span>
                    </label>
                    <select id="client_id" name="client_id" class="w-full bg-gray-700 border border-gray-600 text-white rounded-lg px-4 py-2 focus:ring-2 focus:ring-blue-500 focus:border-transparent" required>
                        <option value="">Select your profile...</option>
                        <!-- This would be populated with actual clients -->
                        <option value="1">John Doe</option>
                        <option value="2">Jane Smith</option>
                    </select>
                </div>
            </div>

            <!-- Questions -->
            <div class="space-y-6">
                @foreach($healthQuestionnaire->questions as $index => $question)
                    @php
                        $questionId = $question['id'] ?? $index;
                        $isRequired = $question['required'] ?? false;
                    @endphp

                    <div class="bg-gray-800 rounded-lg p-6">
                        <div class="mb-4">
                            <h3 class="text-lg font-semibold text-white mb-2">
                                Question {{ $index + 1 }}
                                @if($isRequired)
                                    <span class="text-red-500">*</span>
                                @endif
                            </h3>
                            <p class="text-gray-300">{{ $question['question'] }}</p>
                        </div>

                        @if($question['type'] === 'multiple_choice')
                            <div class="space-y-3">
                                @foreach($question['options'] as $optionIndex => $option)
                                    <label class="flex items-center space-x-3 cursor-pointer group">
                                        <input type="radio"
                                               name="responses[{{ $questionId }}]"
                                               value="{{ $option }}"
                                               class="w-4 h-4 text-blue-600 bg-gray-700 border-gray-600 focus:ring-blue-500"
                                               {{ $isRequired ? 'required' : '' }}>
                                        <span class="text-gray-300 group-hover:text-white transition-colors">{{ $option }}</span>
                                    </label>
                                @endforeach
                            </div>

                        @elseif($question['type'] === 'yes_no')
                            <div class="space-y-3">
                                <label class="flex items-center space-x-3 cursor-pointer group">
                                    <input type="radio"
                                           name="responses[{{ $questionId }}]"
                                           value="yes"
                                           class="w-4 h-4 text-blue-600 bg-gray-700 border-gray-600 focus:ring-blue-500"
                                           {{ $isRequired ? 'required' : '' }}>
                                    <span class="text-gray-300 group-hover:text-white transition-colors">Yes</span>
                                </label>
                                <label class="flex items-center space-x-3 cursor-pointer group">
                                    <input type="radio"
                                           name="responses[{{ $questionId }}]"
                                           value="no"
                                           class="w-4 h-4 text-blue-600 bg-gray-700 border-gray-600 focus:ring-blue-500"
                                           {{ $isRequired ? 'required' : '' }}>
                                    <span class="text-gray-300 group-hover:text-white transition-colors">No</span>
                                </label>
                            </div>

                        @elseif($question['type'] === 'rating_scale')
                            <div>
                                <div class="flex items-center justify-between mb-2">
                                    <span class="text-sm text-gray-400">1 (Poor)</span>
                                    <span class="text-sm text-gray-400">10 (Excellent)</span>
                                </div>
                                <input type="range"
                                       name="responses[{{ $questionId }}]"
                                       min="1"
                                       max="10"
                                       value="5"
                                       class="w-full h-2 bg-gray-700 rounded-lg appearance-none cursor-pointer"
                                       oninput="updateRangeValue(this)"
                                       {{ $isRequired ? 'required' : '' }}>
                                <div class="text-center mt-2">
                                    <span class="text-white font-semibold text-lg" id="range-value-{{ $questionId }}">5</span>
                                </div>
                            </div>

                        @elseif($question['type'] === 'text_input')
                            <div>
                                <textarea name="responses[{{ $questionId }}]"
                                          rows="4"
                                          class="w-full bg-gray-700 border border-gray-600 text-white rounded-lg px-4 py-2 focus:ring-2 focus:ring-blue-500 focus:border-transparent"
                                          placeholder="Please provide details..."
                                          {{ $isRequired ? 'required' : '' }}></textarea>
                            </div>
                        @endif

                        @if(isset($question['risk_weight']) && $question['risk_weight'] > 5)
                            <div class="mt-3 p-3 bg-yellow-900 border-l-4 border-yellow-500 rounded-r-lg">
                                <div class="flex items-start">
                                    <i class="fas fa-exclamation-triangle text-yellow-400 mt-1 mr-2"></i>
                                    <p class="text-yellow-200 text-sm">This question is important for your safety assessment.</p>
                                </div>
                            </div>
                        @endif
                    </div>
                @endforeach
            </div>

            <!-- Consent and Submit -->
            <div class="bg-gray-800 rounded-lg p-6">
                <h3 class="text-xl font-semibold text-white mb-4">Consent and Submission</h3>

                <div class="space-y-4 mb-6">
                    <label class="flex items-start space-x-3 cursor-pointer group">
                        <input type="checkbox"
                               name="consent_accuracy"
                               class="w-4 h-4 text-blue-600 bg-gray-700 border-gray-600 focus:ring-blue-500 mt-1"
                               required>
                        <span class="text-gray-300 group-hover:text-white transition-colors">
                            I certify that all information provided is accurate and complete to the best of my knowledge.
                        </span>
                    </label>

                    <label class="flex items-start space-x-3 cursor-pointer group">
                        <input type="checkbox"
                               name="consent_review"
                               class="w-4 h-4 text-blue-600 bg-gray-700 border-gray-600 focus:ring-blue-500 mt-1"
                               required>
                        <span class="text-gray-300 group-hover:text-white transition-colors">
                            I understand that this information will be reviewed by medical staff and may affect my appointment scheduling.
                        </span>
                    </label>
                </div>

                <button type="submit" class="w-full bg-blue-600 hover:bg-blue-700 text-white font-semibold py-3 px-6 rounded-lg transition-colors">
                    <i class="fas fa-paper-plane mr-2"></i>Submit Health Questionnaire
                </button>
            </div>
        </form>

        <!-- Footer -->
        <div class="text-center mt-8 text-gray-400 text-sm">
            <p>Your health information is confidential and will only be used for safety assessment purposes.</p>
            <p class="mt-2">If you have questions about this form, please contact our studio directly.</p>
        </div>
    </div>
</div>

<script>
function updateRangeValue(input) {
    const questionId = input.name.match(/\[(.*?)\]/)[1];
    const valueElement = document.getElementById(`range-value-${questionId}`);
    if (valueElement) {
        valueElement.textContent = input.value;
    }
}

// Initialize range values on page load
document.addEventListener('DOMContentLoaded', function() {
    const ranges = document.querySelectorAll('input[type="range"]');
    ranges.forEach(range => {
        updateRangeValue(range);
    });
});
</script>
@endsection