@extends('layouts.master')

@section('link')
    <link href="{!! asset('css/information/information.css') !!}?20200107-1400" rel="stylesheet">
    <link href="{!! asset('lightbox2-master/css/lightbox.css') !!}" rel="stylesheet">
    <script src="{!! asset('lightbox2-master/js/lightbox.js') !!}" type="text/javascript"></script>
@stop

@if(isset($isCorporate) && $isCorporate)
    @include('corporate.layouts.header')
@else
    @include('layouts.header')
@endif

@section('content')
<script type="text/javascript">
    $(document).ready(function () {
        var minDt = $('[name=min_date]').val();
        // 年度末取得
        var year = new Date();
        year.setMonth(year.getMonth() - 3);
        year.setYear(year.getFullYear() + 1);
        var maxDt = year.getFullYear()+'/03/31';
        $('.datepicker').datetimepicker({
            useCurrent: false,
            minDate: minDt,
            maxDate: maxDt,
            format: 'YYYY/MM/DD',
            locale: 'ja'
        });
    });
</script>
<div class="container">

    {{-- Validation --}}
    <div class="flash-message" id="editionMsg">
        @if ($errors->any())
            <div class="alert alert-danger col-md-12">
                <ul>
                    @foreach ($errors->all() as $error)
                        <li>{{ $error }}</li>
                    @endforeach
                </ul>
            </div>
        @endif
    </div>

    <p>
        利用者アンケートの実施をご希望の際は、以下のフォームよりお申込みください。<br>
        アンケート開始日３日前までに、保護者配布用のQRコード付きアンケート用紙など、セット一式をメールにてお送りいたします。
    </p>

    @if(isset($isCorporate) && $isCorporate)
        {{Form::open(array('url'=>route('corporate.enqueteEntryConf'), 'class'=>'form-inline'))}}
    @else
        {{Form::open(array('url'=>route('enqueteEntryConf'), 'class'=>'form-inline'))}}
    @endif
        {{Form::hidden('min_date', $min_date)}}
        <table class="table">
            <tr>
                <th>法人名</th>
                <td>{{ Form::text('inf004_corporate_name', old('inf004_corporate_name', $corporate_name), ['class' => 'form-control input-name-width','maxlength' => '32']) }}<small class=form-discription>※集計結果に記載されますので正式名称を入力してください。</small></td>
            </tr>
            <tr>
                <th>施設名<small class="required-mark">必須</small></th>
                <td>{{ Form::text('inf004_inf_facility_name', old('inf004_inf_facility_name', $inf_facility_name), ['class' => 'form-control input-name-width','maxlength' => '32']) }}<small class=form-discription>※集計結果に記載されますので正式名称を入力してください。</small>
                </td>
            </tr>
            <tr>
                <th>園児数<small class="required-mark">必須</small></th>
                <td>{{ Form::text('inf004_children_num', $children_num, ['class' => 'form-control input-children-num-width','maxlength' => '4']) }}名</td>
            </tr>
            <tr>
                <th>担当者氏名<small class="required-mark">必須</small></th>
                <td>{{ Form::text('inf004_person_name', $person_name, ['class' => 'form-control long-input','maxlength' => '16']) }}</td>
            </tr>
            <tr>
                <th>電話番号<small class="required-mark">必須</small></th>
                <td>{{ Form::text('inf004_tel', $tel, ['class' => 'form-control long-input','maxlength' => '21']) }}</td>
            </tr>
            <tr>
                <th>メールアドレス<small class="required-mark">必須</small></th>
                <td>{{ Form::text('inf004_mail', $mail, ['class' => 'form-control input-mail-width','maxlength' => '254']) }}<small class=form-discription>※各書類送付先となりますので、お間違いのないよう入力してください。</small></td>
            </tr>
            <tr>
                <th>アンケート実施期間<small class="required-mark">必須</small></th>
                <td>
                    <div class="input-group date mb-emd5 datepicker">
                        {!! Form::text('inf004_enquete_start_day', $enquete_start_day, array('class' => 'form-control date-box-width')) !!}
                        <span class="input-group-addon">
                            <span class="glyphicon glyphicon-calendar"></span>
                        </span>
                    </div>
                    <label>～</label>
                    <div class="input-group date mb-emd5 datepicker">
                        {!! Form::text('inf004_enquete_end_day', $enquete_end_day, array('class' => 'form-control date-box-width')) !!}
                        <span class="input-group-addon">
                            <span class="glyphicon glyphicon-calendar"></span>
                        </span>
                    </div>
                </td>

            </tr>
            <tr>
                <th>アンケート用紙　備考欄記入内容<br><span>(150文字以内)</span><br><small class="enquete-notes-discription">＊サンプルは<a href="{!! asset('img/enquete_sample.png') !!}" data-lightbox="image">こちら</a></small></th>
                <td>{{ Form::textarea('inf004_enquete_notes', $enquete_notes, ['class' => 'form-control long-input' , 'rows' => '4', 'placeholder' => '保護者へ配布するQRコード付きアンケート用紙の備考欄に記入したい内容を入力してください。不要な場合は空欄のままで構いません。','maxlength' => '150']) }}</td>
            </tr>
            <tr>
                <th>おしらせメール配信<small class="required-mark">必須</small></th>
                <td>
                    <label class="input-mail-check-width">{{Form::radio('inf004_mail_check', Config::get('const.ENQUETE_MAIL_REPORT_NECESSARY'), @$mail_check_on, ['class' => 'form-control'])}}{{Config::get('const.ENQUETE_MAIL_REPORT_NECESSARY')}}</label>
                    <label class="input-mail-check-width">{{Form::radio('inf004_mail_check', Config::get('const.ENQUETE_MAIL_REPORT_UNNECESSARY'), @$mail_check_off, ['class' => 'form-control'])}}{{Config::get('const.ENQUETE_MAIL_REPORT_UNNECESSARY')}}</label>
                    <small class=form-discription>※アンケート実施期間中、保護者様の回答状況を上記アドレスに毎日メール配信します。</small>
                </td>
            </tr>
            <tr>
                <th>その他、連絡事項など</th>
                <td>{{ Form::textarea('inf004_other_memo', $other_memo, ['class' => 'form-control long-input' , 'rows' => '4','maxlength' => '1000']) }}</td>
            </tr>
        </table>
        <div class="text-right" style="margin-right:20px">
            {{Form::submit('確認画面へ進む', ['class' => 'btn btn-primary confirm-btn'])}}
        </div>
    {{Form::close()}}

</div>
@stop
@if(isset($isCorporate) && $isCorporate)
    @include('corporate.layouts.footer')
@else
    @include('layouts.footer')
@endif