@extends('layouts.layoutMaster')

@section('title', 'OMM-Inquiry')
@section('content')


    <form method="POST" action="{{ route('inquiry-list.store') }}">
        @csrf
        <div class="card mx-10 mb-md-5" style="margin: 0 auto;">
            <div class="card-header">
                <h5>Concept Details</h5>
            </div>
            <input type="hidden" id="id" name="id" value="{{ $form->id }}">
            <div class="card-body pt-1">
                <div class="row">
                    <div class="col-md-6 mb-5">
                        <div class="form-floating form-floating-outline">
                            <input type="text" class="form-control" value="{{ $user->name }}" name="name"
                                id="name">
                            <label for="name">First Name</label>
                        </div>
                    </div>

                    <div class="col-md-6 mb-5">
                        <div class="form-floating form-floating-outline">
                            <input type="text" class="form-control" value="{{ $user->lastname }}" name="lastname"
                                id="lastname">
                            <label for="lastname">Last Name</label>
                        </div>
                    </div>
                </div>

                <div class="row mb-5">
                    <div class="col-md-12">
                        <div class="form-floating form-floating-outline">
                            <input type="text" class="form-control" value="{{ $user->company }}" name="company"
                                id="company">
                            <label for="company">Company</label>
                        </div>
                    </div>
                </div>

                <div class="row">
                    <div class="col-md-3 mb-5">
                        <div class="form-floating form-floating-outline">
                            <input type="datetime-local" class="form-control" name="date_time" id="date_time">
                            <label for="date_time">PreFor Date & Time</label>
                        </div>
                    </div>

                    <div class="col-md-5 mb-5">
                        <div class="form-floating form-floating-outline">
                            <input type="email" class="form-control" name="email" id="email"
                                placeholder="Enter Email" value="{{ $user->email }}">
                            <label for="email">Contact Person Email</label>
                        </div>
                    </div>

                    <div class="col-md-4 mb-5">
                        <div class="form-floating form-floating-outline">
                            <input type="text" class="form-control" name="Phone_no" id="Phone_" required
                                pattern="^[0-9]{10}$" title="Please enter a valid 10-digit phone number"
                                placeholder="Enter phone number">
                            <label for="Phone_">Contact Person PhoneNo:</label>
                        </div>
                    </div>

                </div>
                <div class="row mb-5">
                    <div class="col-md-5">
                        <div class="form-floating form-floating-outline">
                            <input type="text" class="form-control" name="designation" id="designation"
                                value="{{ $user->designation }}" placeholder="Designation">
                            <label for="designation">Designation</label>
                        </div>
                    </div>

                    <div class="col-md-2">
                        <div class="form-floating form-floating-outline">
                            <input type="text" class="form-control" id="form_name" name="form_name"
                                value="{{ $form->name }}" placeholder="Form Name">
                            <label for="form_name">Form Name</label>
                        </div>
                    </div>

                    <div class="col-md-5">
                        <div class="form-floating form-floating-outline">
                            <select name="type" id="type" class="select2 form-control" aria-label="Assessment Type">
                                <option value="" disabled selected>Select Type</option>
                                <option value="online">Online Assisted</option>
                                <option value="In-Person">On Premise Assisted</option>
                            </select>
                            <label for="Assessment">Assessment Type</label>
                        </div>
                    </div>

                </div>

                <div class="text-center mb-5">
                    <button type="submit" class="btn btn-dark rounded-0" id="submit">Submit</button>
                </div>
            </div>
        </div>
    </form>

@endsection