@extends('layouts.admin')
@section('pageTitle')
  <title>Best Insurance | Completed Leads</title>
@stop
@section('pageCss')
<link rel="stylesheet" href="{{ URL::asset('assets/plugins/datepicker/datepicker3.css') }}">
@stop
@section('content')
<section class="content">
  <div class="box get-quote">
            @if(isset($information))
              {{--*/ $policy_number = $information->policy_number /*--}}
            @else
              {{--*/ $policy_number = '' /*--}}
            @endif

            @if(isset($information->product_name))
              {{--*/ $product_name = $information->product_name /*--}}
            @else
              {{--*/ $product_name = '' /*--}}
            @endif

            @if(isset($information->insurer))
              {{--*/ $insurer = $information->insurer /*--}}
            @else
              {{--*/ $insurer = '' /*--}}
            @endif

            <div class="box box-warning col-md-12">
              <div class="box-header with-border">
                <h3 class="box-title" >{{$product_name.' - '.$policy_number}}</h3>
              </div>
            </div>
            @if($information->status == 0)
            <div class="box-header with-border col-md-12">
                <h3 class="box-title text-red col-md-12"  > Rejected!</h3>
                <P class="col-md-12"><b>Comment: </b>{{$information->comments_for_rejection}} </P>
            </div>
            @endif
            <div class="box-body no-padding">
              {!! Form::open(array('url' => 'account/update-completed-lead')) !!}
                <!-- text input -->

                <div class="form-group col-md-6" style="border-right: 2px solid #ccc;">
                    <!-- Quote Id -->
                    {{ Form::hidden('id', $information->id)}}
                    
                    <div class="col-md-6 lead-padding">{!! Form::label('Policy Number') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->policy_number}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6  col-xs-6 col-sm-6 lead-padding">{!! Form::label('Product Name') !!} :</div>
                    <div class="col-md-6  col-xs-6 col-sm-6 lead-padding">{{$information->product_name}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6  col-xs-6 col-sm-6 lead-padding">{!! Form::label('Insurer') !!} :</div>
                    <div class="col-md-6  col-xs-6 col-sm-6 lead-padding">{{$information->insurer}} </div>


                    <div class="clearfix"></div>
                    <div class="col-md-6 lead-padding">{!! Form::label('Date Of Birth ') !!} :</div>
                    <div class="col-md-6 lead-padding">{{date('d-m-Y', strtotime($information->dob))}} </div>
    
                    <div class="clearfix"></div>
                    <div class="col-md-6 lead-padding">{!! Form::label('Occupation') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->occupation}} </div>
                    <div class="clearfix"></div>
                                        <div class="col-md-6 lead-padding">{!! Form::label('Address') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$address}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 lead-padding">{!! Form::label('Telephone') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->telephone}} </div>
                    <div class="clearfix"></div>
                     <div class="col-md-6 lead-padding">{!! Form::label('Type Of Cover') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->typeofcover}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 lead-padding">{!! Form::label('Monthly Commitment') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->monthlycommitment}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 lead-padding">{!! Form::label('Monthly Benefit') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->monthlybenefit}} </div>
                    <div class="clearfix"></div>
                     <div class="col-md-6 lead-padding">{!! Form::label('Monthly Cost') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->monthlycost}} </div>
                    <div class="clearfix"></div>
                     <div class="col-md-6 lead-padding">{!! Form::label('Excess period') !!} :</div>
                     @if($information->typeofcover == 'AS')
                        @php
                            $excessperiod = '';
                            switch ($information->excessperiod) 
                            {
                                case 0:
                                case 1:
                                    $excessperiod = ' 1 Day';
                                    break;
                                case 7:
                                    $excessperiod = ' 1 Week';
                                    break;
                                case 14:
                                  $excessperiod = ' 2 Weeks';
                                  break;
                                case 30:
                                    $excessperiod = ' 4 Weeks';
                                    break;
                                case 60:
                                    $excessperiod = ' 8 Weeks';
                                    break;
                                case 91:
                                    $excessperiod = ' 13 Weeks';
                                    break;
                                case 182:
                                    $excessperiod = ' 26 Weeks';
                                    break;
                                case 364:
                                    $excessperiod = ' 52 Weeks';
                                    break;
                                case 392:
                                    $excessperiod = ' 56 Weeks';
                                    break;
                                case 728:
                                    $excess_period="104 Weeks";
                                    break;
                                case 784:
                                    $excess_period="112 Weeks";
                                    break;
                                default:
                                    echo "Back to Day 1";
                            }  
                        @endphp
                    @else
                        @if($information->excessperiod == 1)
                            {{--*/ $excessperiod = ' Back to Day 1' /*--}}
                        @elseif(!empty($information->excessperiod) )
                            {{--*/ $excessperiod = $information->excessperiod.' days' /*--}}
                        @else
                            {{--*/ $excessperiod = '' /*--}}
                        @endif
                    @endif
                   
                    <div class="col-md-6 lead-padding">{{$excessperiod}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 lead-padding">{!! Form::label('Account Number') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->accountnumber}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 lead-padding">{!! Form::label('IBAN') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->iban}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 lead-padding">{!! Form::label('Bank Bic') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->bankbic}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 lead-padding">{!! Form::label('Branch Bic') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->branchbic}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 lead-padding">{!! Form::label('Town') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->town}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 lead-padding">{!! Form::label('Bank Phone') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->bank_phone}} </div>
                   
                    <div class="clearfix"></div>
                    <!-- <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{!! Form::label('Is Webline Product') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{{$information->is_webline_product}} </div> -->

                    <div class="clearfix"></div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{!! Form::label('Increasing Benefit ') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{{$information->increasing_benefit}} </div>

                    <div class="clearfix"></div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{!! Form::label('Premise Name') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{{$information->premiseName}} </div>
                    
                </div>

                
                <div class="form-group col-md-6">
                    <div class="col-md-6 lead-padding">{!! Form::label('Name') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->title.' '.$information->fname.' '.$information->lname}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 lead-padding ">{!! Form::label('Employee Status') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->emp_status}} </div>
                    <div class="clearfix"></div>
                   
                    <div class="col-md-6 lead-padding">{!! Form::label('Employer Name ') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->employer_name}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 lead-padding">{!! Form::label('Postcode') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->postcode}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 lead-padding">{!! Form::label('Email') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->email}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 lead-padding">{!! Form::label('Insurance Startdate') !!} :</div>
                    <div class="col-md-6 lead-padding">{{date('d-m-Y', strtotime($information->insurance_startdate))}} </div>
                    <div class="clearfix"></div>

                     <div class="col-md-6  col-xs-6 col-sm-6  lead-padding">{!! Form::label('Insurance Enddate') !!} :</div>
                    <div class="col-md-6  col-xs-6 col-sm-6  lead-padding">{{date('d-m-Y', strtotime($information->insurance_enddate))}} </div>
                    <div class="clearfix"></div>
                   
                    <div class="col-md-6 lead-padding">{!! Form::label('Type of Protection') !!} :</div>
                    <div class="col-md-6 lead-padding">{{title_case(str_replace('_',' ',$information->typeofprotection))}} </div>
                    <div class="clearfix"></div>
                    
                    <div class="col-md-6 lead-padding">{!! Form::label('Age') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->age}} </div>
                    <div class="clearfix"></div>
                    
                    <div class="col-md-6 lead-padding">{!! Form::label('Benefit Period') !!} :</div>
                    @if($information->benefit_period == 6)
                      <div class="col-md-6 lead-padding">6 Months</div>
                    @elseif($information->benefit_period == 12)
                      <div class="col-md-6 lead-padding">12 Months</div>
                    @elseif($information->benefit_period == 18)
                      <div class="col-md-6 lead-padding">18 Months</div>
                    @else
                      <div class="col-md-6 lead-padding"></div>
                    @endif
                    <div class="clearfix"></div>
                     <div class="col-md-6 lead-padding">{!! Form::label('Cover') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->cover}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 lead-padding lead-padding">{!! Form::label('Account Name') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->accountname}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 lead-padding">{!! Form::label('Sortcode') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->sortcode}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 lead-padding">{!! Form::label('Bank') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->bank}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 lead-padding">{!! Form::label('Branch') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->branch}} </div>
                    <div class="clearfix"></div>
                     <div class="col-md-6 lead-padding">{!! Form::label('Branch Address') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->branch_address}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 lead-padding">{!! Form::label('Bank Postcode') !!} :</div>
                    <div class="col-md-6 lead-padding">{{$information->bank_postcode}} </div>

                    <div class="clearfix"></div>
                    <div class="col-md-6  col-xs-6 col-sm-6 lead-padding">{!! Form::label('Affiliate Id') !!} :</div>
                    <div class="col-md-6  col-xs-6 col-sm-6 lead-padding">{{$information->affid}} </div>

                    
                    <div class="clearfix"></div>
                    <div class="col-md-6  col-xs-6 col-sm-6 lead-padding">{!! Form::label('Smoker') !!} :</div>
                    <div class="col-md-6  col-xs-6 col-sm-6 lead-padding">{{$information->smoker}} </div>

                    <div class="clearfix"></div>
                    <div class="col-md-6  col-xs-6 col-sm-6 lead-padding">{!! Form::label('Lead Source Field') !!} :</div>
                    <div class="col-md-6  col-xs-6 col-sm-6 lead-padding">{{$information->lead_source_field}} </div>
                    <div class="clearfix"></div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{!! Form::label('Salary') !!} :</div>
                    <div class="col-md-6 col-xs-6 col-sm-6  lead-padding">{{$information->salary}} </div>
                     <div class="clearfix"></div>
                    <div class="clearfix"></div>
              

                </div>
                <div class="qsn-ansr">
                @if(!empty($questions))
                  <div class="form-group col-md-12">
                    <div class="col-md-12"> 
                      <label>{!! $underwriting_questions->q1 !!} </label>
                      <div class="ansr">
                      {{$questions->q1}}</div>
                    </div>
                  </div>

                  <div class="form-group col-md-12">
                    <div class="col-md-12"> 
                      <label>{!! $underwriting_questions->q2 !!}</label>
                    <div class="ansr">
                      {{$questions->q2}}</div>
                    </div>
                  </div>

                  <div class="form-group col-md-12">
                    <div class="col-md-12">
                      <label>{!! $underwriting_questions->q3 !!}</label>
                    
                    
                      <input type="hidden" name="q3_employed_salary" id="hidden_q3_employed_salary" value='{{$questions->q3_employed_salary}}'>
                      <input type="hidden" name="q3_selfemployed_profit" id="hidden_q3_selfemployed_profit" value='{{$questions->q3_selfemployed_profit}}'>
                      <input type="hidden" name="q3_earnings" id="hidden_q3_earnings" value='{{$questions->q3_earnings}}'>
                      <input type="hidden" name="q3_dividends" id="hidden_q3_dividends" value='{{$questions->q3_dividends}}'>
                      <input type="hidden" name="q3_total" id="hidden_q3_total" value='{{$questions->q3_total}}'>
                    </div>
                  </div>
                  <div class="form-group col-md-12">
                    <div class="col-md-12">
                      <label>{!! $underwriting_questions->q4 !!}</label>
                    <div class="ansr">
                      {{$questions->q4}}</div>
                    </div>
                  </div>

                  <div class="form-group col-md-12">
                    <div class="col-md-12">
                      <label>{!! $underwriting_questions->q5 !!}</label>
                    <div class="ansr">
                      {{$questions->q5}}</div>
                    </div>
                  </div>

                  <div class="form-group col-md-12">
                    <div class="col-md-12">
                      <label>{!! $underwriting_questions->q6 !!}</label>
                    <div class="ansr">
                      {{$questions->q6}}</div>
                    </div>
                  </div>

                  <div class="form-group col-md-12">
                    <div class="col-md-12">
                     <label> {!! $underwriting_questions->q7 !!}</label>
                    <div class="ansr">
                      {{$questions->q7}}</div>
                    </div>
                  </div>
                  <div class="form-group col-md-12">
                    <div class="col-md-12">
                     <label> {!! $underwriting_questions->q8 !!}</label>
                    <div class="ansr">
                      {{$questions->q8}}</div>
                    </div>
                  </div>
                  <div class="form-group col-md-12">
                    <div class="col-md-12">
                     <label> {!! $underwriting_questions->q9 !!}</label>
                    <div class="ansr">
                      @if($questions->q9 == 'Kg')
                    
                      {{$questions->q9_message.''}} Kgs <br>
                    @else
                    
                      {{$questions->q9_message.''}} Lbs 
                    @endif
                    </div>
                    </div>
                  </div>
                  <div class="form-group col-md-12">
                    <div class="col-md-12">
                     <label> When would be the most convenient time for your medical tele-interview? </label><br>
                     
                     <div class="ansr"> <span> Available date:  </span>
                     {{$questions->q10_date}}<br>
                     <span> Preferred time: </span>
                      {{$questions->q10_time}}</div>
                    
                      
                    </div>
                  </div>

                 
                @endif
                </div>

              </form>
            </div>
    </div>
    <!-- </div> -->
</section>

@stop
@section('pageBottomJs')
<style type="text/css">
    .lead-padding{
        margin-bottom: 15px;
    }
</style>

<link rel="stylesheet" href="{{ URL::asset('assets/plugins/iCheck/all.css') }}">
<!-- iCheck 1.0.1 -->
<script src="{{ URL::asset('assets/plugins/iCheck/icheck.min.js') }}"></script>
<script src="{{ URL::asset('assets/plugins/datepicker/bootstrap-datepicker.js') }}"></script>
<script>
    $(document).ready(function () {

        $('#datepicker').datepicker({
          autoclose: true
        });

        // Adding the data for q3
        var hidden_q3_employed_salary = $('#hidden_q3_employed_salary').val();
        var hidden_q3_selfemployed_profit = $('#hidden_q3_selfemployed_profit').val();
        var hidden_q3_earnings = $('#hidden_q3_earnings').val();
        var hidden_q3_dividends = $('#hidden_q3_dividends').val();
        var hidden_q3_total = $('#hidden_q3_total').val();

        if(hidden_q3_employed_salary.leangth != 0){
          $('#q3_employed_salary').val(hidden_q3_employed_salary);
        }
        if(hidden_q3_selfemployed_profit.leangth != 0){
          $('#q3_selfemployed_profit').val(hidden_q3_selfemployed_profit);
        }
        if(hidden_q3_earnings.leangth != 0){
          $('#q3_earnings').val(hidden_q3_earnings);
        }
        if(hidden_q3_dividends.leangth != 0){
          $('#q3_dividends').val(hidden_q3_dividends);
        }
        if(hidden_q3_total.leangth != 0){
          $('#q3_total').val(hidden_q3_total);
        }


    });
</script>
@stop