@extends('layouts.user')
@section('sidebar')
@include('frontend.components.user-layout-sidebar')
@endsection
@section('body_class')
    fill_data specifications
@endsection


@section('css')
    <link rel="stylesheet" href="{{ asset('css/style-new.css') }}">
    <style>
        .select2-container {
            width: 60% !important;
        }

        .content-pages {
            background: #fff;
            border-radius: 0 !important;
            margin-top: 0 !important;
            margin-right: 0 !important;
        }

        .fill_data {
            padding: 0 !important;
            margin-bottom: 37px;
        }
    </style>
@endsection

@section('content')
    @include('frontend.components.alerts-components')
    @if (isset($errors) && count($errors) > 0)
        @foreach ($errors->all() as $error)
            <div class="alert alert-danger">
                {{ $error }}
            </div>
        @endforeach
    @endif

    @if ($edit)
        {!! Form::open([
            'route' => ['partner.update', $request->id],
            'method' => 'PUT',
            'files' => true,
            'id' => 'belongsTo_type-form',
            'class' => 'row form-reg',
        ]) !!}
    @else
        {!! Form::open([
            'route' => 'partner.store',
            'files' => true,
            'id' => 'belongsTo_type-form',
            'class' => 'row form-reg',
        ]) !!}
    @endif

    @csrf
    @php
        $gender = Auth::user()->gender;
    @endphp

    <h1> مواصفات شريك الحياة </h1>
    <a href="{{ url('marriage-request') }}/{{$edit?'edit/'.$id:''}}" style="position: absolute; left: 0px;">
        الرجوع
        <svg xmlns="http://www.w3.org/2000/svg" width="25.706" height="24.329" viewBox="0 0 25.706 24.329">
            <g id="Group_714" data-name="Group 714" transform="translate(-198 -222.086)">
                <g id="Group_601" data-name="Group 601" transform="translate(-1363 -858)">
                    <g id="Component_1_16" data-name="Component 1 – 16" transform="translate(1562 1081.5)">
                        <path id="Path_11605" data-name="Path 11605" d="M1572.75,1103,1562,1092.25l10.75-10.75"
                            transform="translate(-1562 -1081.5)" fill="none" stroke="#90599f" stroke-linecap="round"
                            stroke-linejoin="round" stroke-width="2" />
                    </g>
                    <path id="Path_11606" data-name="Path 11606" d="M1579.75,1103,1569,1092.25l10.75-10.75"
                        transform="translate(5.542)" fill="none" stroke="#bfc9ce" stroke-linecap="round"
                        stroke-linejoin="round" stroke-width="2" />
                </g>
            </g>
        </svg>
    </a>
    <input type="hidden" value="2" name="request_type">

    <h1 class="tit">البيانات الشخصية</h1>
    <div class="rows col-12">
        <label for="qualification">المؤهل</label>

        <div class="custom-input-field">
            <select name="qualification_id" id="qualification" class="input select_" required="required">
                {{-- <option value="">اختر المؤهل</option> --}}
                <option value="">حدد الاختيار</option>
                @foreach ($qualifications as $qualification)
                    @if ($edit)
                        <option @if ($request->qualification_id == $qualification->id || $qualification->id == old('qualification_id')) selected="selected" @endif
                            value="{{ $qualification->id }}">{{ $qualification->name }}</option>
                    @else
                        <option @if ($qualification->id == old('qualification_id')) selected="selected" @endif
                            value="{{ $qualification->id }}">{{ $qualification->name }}</option>
                    @endif
                @endforeach

            </select>

            @error('qualification_id')
                <span class="invalid-feedback" role="alert">
                    <strong>{{ $message }}</strong>
                </span>
            @enderror
        </div>
    </div>

    <div class="rows col-12">
        <label for="nationality">الجنسية</label>

        <div class="custom-input-field">
            <select name="nationality_id" id="nationality" class="input select_" required="required">
                {{-- <option value="">اختر الجنسية</option> --}}
                <option value="">حدد الاختيار</option>
                @foreach ($nationalities as $nationality)
                    @if ($edit)
                        <option @if ($request->nationality_id == $nationality->id || $nationality->id == old('nationality_id')) selected="selected" @endif value="{{ $nationality->id }}">
                            {{ $nationality->name }}</option>
                    @else
                        <option @if ($nationality->id == old('nationality_id')) selected="selected" @endif
                            value="{{ $nationality->id }}">{{ $nationality->name }}</option>
                    @endif
                @endforeach

            </select>

            @error('nationality_id')
                <span class="invalid-feedback" role="alert">
                    <strong>{{ $message }}</strong>
                </span>
            @enderror
        </div>
    </div>

    <div class="rows col-12">
        <label for="city">المنطقة</label>

        <div class="custom-input-field">
            <select name="city_id" id="city" class="input select_" required="required">
                {{-- <option value="">اختر المنطقة</option> --}}
                <option value="">حدد الاختيار</option>
                @foreach ($cities as $city)
                    @if ($edit)
                        <option @if ($request->city_id == $city->id || $city->id == old('city_id')) selected="selected" @endif value="{{ $city->id }}">
                            {{ $city->name }}</option>
                    @else
                        <option @if ($city->id == old('city_id')) selected="selected" @endif value="{{ $city->id }}">
                            {{ $city->name }}</option>
                    @endif
                @endforeach
            </select>

            @error('city_id')
                <span class="invalid-feedback" role="alert">
                    <strong>{{ $message }}</strong>
                </span>
            @enderror
        </div>
    </div>


    <div class="rows col-12">
        <label for="age">العمر</label>

        <div class="custom-input-field">
            <select name="age" required id="age" class="input select_">
                {{-- <option value="">اختر العمر</option> --}}
                <option value="">حدد الاختيار</option>
                @if ($edit)
                    <option @if ('23 - 18' == old('age') || $request->age == '23 - 18') selected="selected" @endif value="23 - 18">23 - 18</option>
                    <option value="29 - 24" @if ('29 - 24' == old('age') || $request->age == '29 - 24') selected="selected" @endif>29 - 24</option>
                    <option value="35 - 30" @if ('35 - 30' == old('age') || $request->age == '35 - 30') selected="selected" @endif>35 - 30</option>
                    <option value="41 - 36" @if ('41 - 36' == old('age') || $request->age == '41 - 36') selected="selected" @endif>41 - 36</option>
                    <option value="47 - 42" @if ('47 - 42' == old('age') || $request->age == '47 - 42') selected="selected" @endif>47 - 42</option>
                    <option value="53 - 48" @if ('53 - 48' == old('age') || $request->age == '53 - 48') selected="selected" @endif>53 - 48</option>
                    <option value="69 - 54" @if ('69 - 54' == old('age') || $request->age == '69 - 54') selected="selected" @endif>69 - 54</option>
                    <option value="75 - 70" @if ('75 - 70' == old('age') || $request->age == '75 - 70') selected="selected" @endif>75 - 70</option>
                    <option value="81 - 76" @if ('81 - 76' == old('age') || $request->age == '81 - 76') selected="selected" @endif>81 - 76</option>
                    <option value="87 - 82" @if ('87 - 82' == old('age') || $request->age == '87 - 82') selected="selected" @endif>87 - 82</option>
                    <option value="93 - 88" @if ('93 - 88' == old('age') || $request->age == '93 - 88') selected="selected" @endif>93 - 88</option>
                    <option value="100 – 94" @if ('100 – 94' == old('age') || $request->age == '100 – 94') selected="selected" @endif>100 – 94
                    </option>
                @else
                    <option @if ('23 - 18' == old('age')) selected="selected" @endif value="23 - 18">23 - 18</option>
                    <option value="29 - 24" @if ('29 - 24' == old('age')) selected="selected" @endif>29 - 24</option>
                    <option value="35 - 30" @if ('35 - 30' == old('age')) selected="selected" @endif>35 - 30</option>
                    <option value="41 - 36" @if ('41 - 36' == old('age')) selected="selected" @endif>41 - 36</option>
                    <option value="47 - 42" @if ('47 - 42' == old('age')) selected="selected" @endif>47 - 42</option>
                    <option value="53 - 48" @if ('69 - 54' == old('age')) selected="selected" @endif>53 - 48</option>
                    <option value="69 - 54" @if ('69 - 54' == old('age')) selected="selected" @endif>69 - 54</option>
                    <option value="75 - 70" @if ('75 - 70' == old('age')) selected="selected" @endif>75 - 70</option>
                    <option value="81 - 76" @if ('81 - 76' == old('age')) selected="selected" @endif>81 - 76</option>
                    <option value="87 - 82" @if ('87 - 82' == old('age')) selected="selected" @endif>87 - 82</option>
                    <option value="93 - 88" @if ('93 - 88' == old('age')) selected="selected" @endif>93 - 88</option>
                    <option value="100 – 94" @if ('100 – 94' == old('age')) selected="selected" @endif>100 – 94
                    </option>
                @endif

            </select>
            @error('age')
                <span class="invalid-feedback" role="alert">
                    <strong>{{ $message }}</strong>
                </span>
            @enderror
        </div>
    </div>

    <div class="rows col-12 marriage">
        <label>القبيلة</label>
        <div class="custom-input-field">
            <select id="tripe" name="tripe" required class="input select_">
                {{-- <option value="">القبيلة</option> --}}
                <option value="">حدد الاختيار</option>
                <option @if ((isset($request->tripe) && $request->tripe == 'نعم') || old('tripe') == 'نعم') selected @endif value="نعم">نعم</option>
                <option @if ((isset($request->tripe) && $request->tripe == 'لا') || old('tripe') == 'لا') selected @endif value="لا">لا</option>
            </select>
            @error('tripe')
                <span class="invalid-feedback" role="alert">
                    <strong>{{ $message }}</strong>
                </span>
            @enderror
        </div>
    </div>

    <div class="rows col-12" id="tripeName" style="display: none">
        <label for="tripe-name">اسم القبيلة</label>
        <div class="custom-input-field">
            <input id="tripe-name" type="text" class="input" name="tripe_name" style="">
        </div>
    </div>



    <h1 class="tit"> الصفات الشخصية </h1>

    @if ($gender == 'male')
        <!--<div class="rows col-12 marriage">-->
        <!--    <label >غطاء الرأس</label>-->

        <!--    <div class="custom-input-field">-->
        <!--        <select name="head_cover" id="btype" required class="input select_">-->
        <!--            <option value="">غطاء الرأس</option>-->
        <!--            <option @if ((isset($request->head_cover) && $request->head_cover == 'نعم') || old('head_cover') == 'نعم') selected @endif value="نعم">نعم</option>-->
        <!--            <option @if ((isset($request->head_cover) && $request->head_cover == 'لا') || old('head_cover') == 'لا') selected @endif value="لا">لا</option>-->
        <!--            <option @if ((isset($request->head_cover) && $request->head_cover == 'غير مهم') || old('head_cover') == 'غير مهم') selected @endif value="غير مهم">غير مهم</option>-->
        <!--        </select>-->
        <!--        @error('head_cover')
        -->
            <!--            <span class="invalid-feedback" role="alert">-->
            <!--                <strong>{{ $message }}</strong>-->
            <!--            </span>-->
            <!--
    @enderror-->
        <!--    </div>-->
        <!--</div>-->
        <div class="rows col-12 marriage">
            <label>عباءة الرأس</label>

            <div class="custom-input-field">
                <select name="face_cover" id="btype" required class="input select_">
                    {{-- <option value="">غطاء الوجه</option> --}}
                    <option value="">حدد الاختيار</option>
                    <option @if ((isset($request->face_cover) && $request->face_cover == 'نعم') || old('face_cover') == 'نعم') selected @endif value="نعم">نعم</option>
                    <option @if ((isset($request->face_cover) && $request->face_cover == 'لا') || old('face_cover') == 'لا') selected @endif value="لا">لا</option>
                    <option @if ((isset($request->face_cover) && $request->face_cover == 'غير مهم') || old('face_cover') == 'غير مهم') selected @endif value="غير مهم">غير مهم</option>
                </select>

                @error('face_cover')
                    <span class="invalid-feedback" role="alert">
                        <strong>{{ $message }}</strong>
                    </span>
                @enderror
            </div>
        </div>
        <div class="rows col-12 marriage">
            <label>النقاب</label>

            <div class="custom-input-field">

                <select name="body_cover" id="btype" required class="input select_">
                    {{-- <option value="">النقاب</option> --}}
                    <option value="">حدد الاختيار</option>
                    <option @if ((isset($request->body_cover) && $request->body_cover == 'نعم') || old('body_cover') == 'نعم') selected @endif value="نعم">نعم</option>
                    <option @if ((isset($request->body_cover) && $request->body_cover == 'لا') || old('body_cover') == 'لا') selected @endif value="لا">لا</option>
                    <option @if ((isset($request->body_cover) && $request->body_cover == 'غير مهم') || old('body_cover') == 'غير مهم') selected @endif value="غير مهم">غير مهم</option>
                </select>

                @error('body_cover')
                    <span class="invalid-feedback" role="alert">
                        <strong>{{ $message }}</strong>
                    </span>
                @enderror
            </div>
        </div>
    @endif

    {{-- <div class="rows col-12 marriage">
        <label >الديانة</label>

        <div class="custom-input-field">
            <select name="religious" required class="input select_">
                <option value="">الديانة</option>
                <option @if ((isset($request->religious) && $request->religious == 'نعم') || old('religious') == 'نعم') selected @endif value="نعم">نعم</option>
                <option @if ((isset($request->religious) && $request->religious == 'لا') || old('religious') == 'لا') selected @endif value="لا">لا</option>
            </select>
            @error('religious')
                <span class="invalid-feedback" role="alert">
                    <strong>{{ $message }}</strong>
                </span>
            @enderror
        </div>
    </div> --}}


    <div class="rows col-12 marriage">
        <label>الشعر</label>

        <div class="custom-input-field">
            <select name="hair" id="btype" required class="input select_">
                {{-- <option value="">الشعر</option> --}}
                <option value="">حدد الاختيار</option>
                <option @if ((isset($request->hair) && $request->hair == 'ناعم') || old('hair') == 'ناعم') selected @endif value="ناعم">ناعم</option>
                <option @if ((isset($request->hair) && $request->hair == 'خشن') || old('hair') == 'خشن') selected @endif value="خشن">خشن</option>
                <option @if ((isset($request->hair) && $request->hair == 'عادى') || old('hair') == 'عادى') selected @endif value="عادى">عادى</option>
            </select>

            @error('hair')
                <span class="invalid-feedback" role="alert">
                    <strong>{{ $message }}</strong>
                </span>
            @enderror
        </div>
    </div>
    <div class="rows col-12 marriage">
        <label>التدين</label>

        <div class="custom-input-field">
            <select name="religion" id="btype" required class="input select_">
                {{-- <option value="">التدين</option> --}}
                <option value="">حدد الاختيار</option>
                <option @if ((isset($request->religion) && $request->religion == 'عالى') || old('religion') == 'عالى') selected @endif value="عالى">عالى</option>
                <option @if ((isset($request->religion) && $request->religion == 'متوسط') || old('religion') == 'متوسط') selected @endif value="متوسط">متوسط</option>
                <option @if ((isset($request->religion) && $request->religion == 'عادى') || old('religion') == 'عادى') selected @endif value="عادى">عادى</option>
            </select>
            @error('religion')
                <span class="invalid-feedback" role="alert">
                    <strong>{{ $message }}</strong>
                </span>
            @enderror
        </div>
    </div>
    @if ($gender == 'female')
        <div class="rows col-12">
            <label for="beared">اللحية</label>

            <div class="custom-input-field">
                <select name="beared" required class="input select_">
                    {{-- <option value="">اختر نوع اللحية</option> --}}
                    <option value="">حدد الاختيار</option>
                    <option @if ((isset($request->beared) && $request->beared == 'بدون لحية') || old('beared') == 'بدون لحية') selected @endif value="بدون لحية">بدون لحية</option>
                    <optgroup label="بلحية">
                        <option @if ((isset($request->beared) && $request->beared == 'لحية طويلة') || old('beared') == 'لحية طويلة') selected @endif value="لحية طويلة">لحية طويلة</option>
                        <option @if ((isset($request->beared) && $request->beared == 'لحية قصيرة') || old('beared') == 'لحية قصيرة') selected @endif value="لحية قصيرة">لحية قصيرة</option>
                    </optgroup>
                </select>
                @error('beared')
                    <span class="invalid-feedback" role="alert">
                        <strong>{{ $message }}</strong>
                    </span>
                @enderror
            </div>
        </div>
    @endif
    <div class="rows col-12 marriage">
        <label>الشكل</label>

        <div class="custom-input-field">
            <select name="shape" id="btype" required class="input select_">
                <option value="">حدد الاختيار</option>
                {{-- <option value="">الشكل</option> --}}
                <option @if ((isset($request->shape) && $request->shape == 'مقبول') || old('shape') == 'مقبول') selected @endif value="مقبول">مقبول</option>
                <option @if ((isset($request->shape) && $request->shape == 'جميل') || old('shape') == 'جميل') selected @endif value="جميل">جميل</option>
                <option @if ((isset($request->shape) && $request->shape == 'جميل جدًا') || old('shape') == 'جميل جدًا') selected @endif value="جميل">جميل جدًا</option>
            </select>
            @error('shape')
                <span class="invalid-feedback" role="alert">
                    <strong>{{ $message }}</strong>
                </span>
            @enderror
        </div>
    </div>

    <div class="rows col-12 marriage">
        <label>التدخين</label>

        <div class="custom-input-field">
            <select name="smoked" id="btype" required class="input select_">
                <option value="">حدد الاختيار</option>
                {{-- <option value="">حدد الاختيار</option> --}}
                <option @if ((isset($request->smoked) && $request->smoked == 'نعم') || old('smoked') == 'نعم') selected @endif value="نعم">نعم</option>
                <option @if ((isset($request->smoked) && $request->smoked == 'لا') || old('smoked') == 'لا') selected @endif value="لا">لا</option>
                <option @if ((isset($request->smoked) && $request->smoked == 'غير مهم') || old('smoked') == 'غير مهم') selected @endif value="غير مهم">غير مهم</option>
            </select>
            @error('smoked')
                <span class="invalid-feedback" role="alert">
                    <strong>{{ $message }}</strong>
                </span>
            @enderror
        </div>
    </div>



    <div class="rows col-12">
        <label for="weight">الوزن</label>

        <div class="custom-input-field">
            <select name="weight" required class="input select_">
                <option value="">حدد الاختيار</option>
                {{-- <option value="">اختر الوزن</option> --}}
                <option value="50 – 60" @if ((isset($request->weight) && $request->weight == '50 – 60') || old('weight') == '50 – 60') selected @endif>50 – 60</option>
                <option value="61 – 70" @if ((isset($request->weight) && $request->weight == '61 – 70') || old('weight') == '61 – 70') selected @endif>61 – 70</option>
                <option value="71 – 80" @if ((isset($request->weight) && $request->weight == '71 – 80') || old('weight') == '71 – 80') selected @endif>71 – 80</option>
                <option value="81 – 90" @if ((isset($request->weight) && $request->weight == '81 – 90') || old('weight') == '81 – 90') selected @endif>81 – 90</option>
                <option value="91 – 100" @if ((isset($request->weight) && $request->weight == '91 – 100') || old('weight') == '91 – 100') selected @endif>91 – 100</option>
                <option value="101 – 110" @if ((isset($request->weight) && $request->weight == '101 – 110') || old('weight') == '101 – 110') selected @endif>101 – 110</option>
                <option value="111 – 120" @if ((isset($request->weight) && $request->weight == '111 – 120') || old('weight') == '111 – 120') selected @endif>111 – 120</option>
                <option value="121 – 130" @if ((isset($request->weight) && $request->weight == '121 – 130') || old('weight') == '121 – 130') selected @endif>121 – 130</option>
                <option value="131 – 140" @if ((isset($request->weight) && $request->weight == '131 – 140') || old('weight') == '131 – 140') selected @endif>131 – 140</option>
                <option value="141 – 150" @if ((isset($request->weight) && $request->weight == '141 – 150') || old('weight') == '141 – 150') selected @endif>141 – 150</option>
                <option value="151 – 160" @if ((isset($request->weight) && $request->weight == '151 – 160') || old('weight') == '151 – 160') selected @endif>151 – 160</option>
                <option value="161 – 170" @if ((isset($request->weight) && $request->weight == '161 – 170') || old('weight') == '161 – 170') selected @endif>161 – 170</option>
                <option value="171 – 180" @if ((isset($request->weight) && $request->weight == '171 – 180') || old('weight') == '171 – 180') selected @endif>171 – 180</option>
            </select>
            @error('weight')
                <span class="invalid-feedback" role="alert">
                    <strong>{{ $message }}</strong>
                </span>
            @enderror
        </div>
    </div>

    <div class="rows col-12">
        <label for="height">الطول</label>

        <div class="custom-input-field">
            <select name="height" required class="input select_">
                <option value="">حدد الاختيار</option>
                {{-- <option value="">اختر الطول</option> --}}
                <option value="140 – 130" @if ((isset($request->height) && $request->height == '140 – 130') || old('height') == '140 – 130') selected @endif>140 – 130</option>
                <option value="150 – 141" @if ((isset($request->height) && $request->height == '150 – 141') || old('height') == '150 – 141') selected @endif>150 – 141</option>
                <option value="160 – 151" @if ((isset($request->height) && $request->height == '160 – 151') || old('height') == '160 – 151') selected @endif>160 – 151</option>
                <option value="170 – 161" @if ((isset($request->height) && $request->height == '170 – 161') || old('height') == '170 – 161') selected @endif>170 – 161</option>
                <option value="180 – 171" @if ((isset($request->height) && $request->height == '180 – 171') || old('height') == '180 – 171') selected @endif>180 – 171</option>
                <option value="190 – 181" @if ((isset($request->height) && $request->height == '190 – 181') || old('height') == '190 – 181') selected @endif>190 – 181</option>
                <option value="200 – 191" @if ((isset($request->height) && $request->height == '200 – 191') || old('height') == '200 – 191') selected @endif>200 – 191</option>
                <option value="210 – 201" @if ((isset($request->height) && $request->height == '210 – 201') || old('height') == '210 – 201') selected @endif>210 – 201</option>
            </select>
            @error('height')
                <span class="invalid-feedback" role="alert">
                    <strong>{{ $message }}</strong>
                </span>
            @enderror
        </div>
    </div>

    <div class="rows col-12 marriage">
        <label for="skin_color">لون البشرة</label>
        <div class="custom-input-field">
            <select name="skin_color" required class="input select_">
                <option value="">حدد الاختيار</option>
                {{-- <option value="">اختر لون البشرة</option> --}}
                <option value="ابيض" @if ((isset($request->skin_color) && $request->skin_color == 'ابيض') || old('skin_color') == 'ابيض') selected @endif>ابيض</option>
                <option value="قمحى" @if ((isset($request->skin_color) && $request->skin_color == 'قمحى') || old('skin_color') == 'قمحى') selected @endif>قمحى</option>
                <option value="أسمر" @if ((isset($request->skin_color) && $request->skin_color == 'أسمر') || old('skin_color') == 'أسمر') selected @endif>أسمر</option>
            </select>
            @error('skin_color')
                <span class="invalid-feedback" role="alert">
                    <strong>{{ $message }}</strong>
                </span>
            @enderror
        </div>
    </div>
    <h1 class="tit"> البيانات الوظيفية </h1>

    <div class="rows col-12">
        <label for="job_type">نوع الوظيفة</label>
        <div class="custom-input-field">
            <select name="job_type" required class="input select_">
                <option value="مدني" @if ((isset($request->job_type) && $request->job_type == 'مدني') || old('job_type') == 'مدني') selected @endif>مدني</option>
                <option value="بدون عمل" @if ((isset($request->job_type) && $request->job_type == 'بدون عمل') || old('job_type') == 'بدون عمل') selected @endif>بدون عمل</option>
                <option value="خاص" @if ((isset($request->job_type) && $request->job_type == 'خاص') || old('job_type') == 'خاص') selected @endif>خاص</option>
                <option value="عسكري" @if ((isset($request->job_type) && $request->job_type == 'عسكري') || old('job_type') == 'عسكري') selected @endif>عسكري</option>

            </select>
            @error('job_type')
                <span class="invalid-feedback" role="alert">
                    <strong>{{ $message }}</strong>
                </span>
            @enderror
        </div>
    </div>

    <h1 class="tit"> الحالة الصحية </h1>
    <div class="rows col-12 marriage">
        <label for="health_status">الحاله الصحية</label>
        <div class="custom-input-field">

            <select name="health_status" id="health_status" required class="input select_">
                {{-- <option value="">اختر الحاله الصحية</option> --}}
                <option value="">حدد الاختيار</option>
                <option value="صحيح" @if ((isset($request->health_status) && $request->health_status == 'صحيح') || old('health_status') == 'healthy') selected @endif>صحيح</option>
                <option value="مريض" @if ((isset($request->health_status) && $request->health_status == 'مريض') || old('health_status') == 'sick') selected @endif>مريض</option>
                <option value="الإعاقة" @if ((isset($request->health_status) && $request->health_status == 'الإعاقة') || old('health_status') == 'disabled') selected @endif>الإعاقة</option>
            </select>
            @error('health_status')
                <span class="invalid-feedback" role="alert">
                    <strong>{{ $message }}</strong>
                </span>
            @enderror
        </div>
    </div>

    <div class="rows col-12" id="diseaseForm" style="display: none">
        <label for="disease">نوع المرض</label>
        <div class="custom-input-field">
            <input id="disease" type="text" class="input" name="disease" style="display: none">
        </div>
    </div>

    <div class="rows col-12" id="disablityForm" style="display: none">
        <label for="disability">نوع الإعاقة</label>
        <div class="custom-input-field">
            <input id="disability" type="text" class="input" name="disability" autocomplete="name"
                style="display: none">
        </div>
    </div>
    <h1 class="tit"> الحالة الاجتماعية </h1>
    <div class="rows col-12">
        <label for="social_status">الحاله الاجتماعية</label>

        <div class="custom-input-field">
            <select name="social_status" class="input select_" required id="children" id="spouse">
                <option value="">حدد الاختيار</option>
                {{-- <option value="">اختر الحاله الاجتماعية</option> --}}
                <option value="اعزب" @if ((isset($request->social_status) && $request->social_status == 'اعزب') || old('social_status') == 'اعزب') selected @endif>اعزب \ عزباء</option>
                @if ($gender == 'female')
                    <option value="متزوج" @if ((isset($request->social_status) && $request->social_status == 'متزوج') || old('social_status') == 'متزوج') selected @endif>متزوج</option>
                @endif
                <option value="منفصل" @if ((isset($request->social_status) && $request->social_status == 'منفصل') || old('social_status') == 'منفصل') selected @endif>منفصل \ منفصلة</option>
                <option value="مطلق" @if ((isset($request->social_status) && $request->social_status == 'مطلق') || old('social_status') == 'مطلق') selected @endif>مطلق \ مطلقة</option>
                <option value="مطلق مع اولاد" @if (
                    (isset($request->social_status) && $request->social_status == 'مطلق مع اولاد') ||
                        old('social_status') == 'مطلق مع اولاد') selected @endif>مطلق \ مطلقة (مع اولاد)
                </option>
                <option value="ارمل" @if ((isset($request->social_status) && $request->social_status == 'ارمل') || old('social_status') == 'ارمل') selected @endif>ارمل \ ارملة</option>
                <option value="ارمل مع اولاد" @if (
                    (isset($request->social_status) && $request->social_status == 'ارمل مع اولاد') ||
                        old('social_status') == 'ارمل مع اولاد') selected @endif>ارمل \ ارملة (مع اولاد)
                </option>
                <option value="غير مهم" @if (isset($request->social_status) && $request->social_status == 'غير مهم') selected @endif>غير مهم</option>

            </select>
            @error('social_status')
                <span class="invalid-feedback" role="alert">
                    <strong>{{ $message }}</strong>
                </span>
            @enderror
        </div>
    </div>

    <div class="rows col-12" id="childrenField" style="display: none">
        <label for="children"> عدد الاطفال</label>
        <div class="custom-input-field">
            <input id="children" type="number" class="input" name="no_of_children" style="">
        </div>
    </div>

    <div class="rows col-12" id="spouseField" style="display: none">
        <label for="spouce"> الحاله الاجتماعية</label>
        <div class="custom-input-field">
            <input id="spouce" type="number" class="input" name="no_of_spouse" style="">
        </div>
    </div>

    <h1 class="tit">البيانات المادية</h1>
    <div class="rows col-12">
        <label for="financial_status">الحالة المادية</label>

        <div class="custom-input-field">
            <select name="financial_status" class="input select_" required>
                <option value="">حدد الاختيار</option>
                {{-- <option value="">اختر الحاله المادية</option> --}}
                <option value="ضعيفة" @if ((isset($request->financial_status) && $request->financial_status == 'ضعيفة') || old('financial_status') == 'ضعيفة') selected @endif>ضعيفة</option>
                <option value="متوسطة" @if (
                    (isset($request->financial_status) && $request->financial_status == 'متوسطة') ||
                        old('financial_status') == 'متوسطة') selected @endif>متوسطة</option>
                <option value="ممتازة" @if ((isset($request->social_status) && $request->financial_status == 'ممتازة') || old('financial_status') == 'ممتازة') selected @endif>ممتازة</option>
                <option value="ممتازة جدا" @if (
                    (isset($request->financial_status) && $request->financial_status == 'ممتازة جدا') ||
                        old('financial_status') == 'ممتازة جدا') selected @endif>ممتازة جدا</option>
                <option value="غير مهم" @if (isset($request->financial_status) && $request->financial_status == 'غير مهم') selected @endif>غير مهم</option>

            </select>
            @error('financial_status')
                <span class="invalid-feedback" role="alert">
                    <strong>{{ $message }}</strong>
                </span>
            @enderror
        </div>
    </div>
    {{-- <div class="rows col-12">
        <label for="job_title" >المسمى الوظيفى</label>

        <div class="custom-input-field">
            {!! Form::text('job_title', $edit ? $request->job_title : old('job_title'), [
                'class' => 'input',
                'required' => 'required',
            ]) !!}

            @error('job_title')
                <span class="invalid-feedback" role="alert">
                    <strong>{{ $message }}</strong>
                </span>
            @enderror
        </div>
    </div>
    <div class="rows col-12">
        <label for="job_in" >جهة العمل</label>

        <div class="custom-input-field">
            {!! Form::text('job_in', $edit ? $request->job_in : old('job_in'), [
                'class' => 'input',
                'required' => 'required',
            ]) !!}

            @error('job_in')
                <span class="invalid-feedback" role="alert">
                    <strong>{{ $message }}</strong>
                </span>
            @enderror
        </div>
    </div>
     <div class="rows col-12">
        <label for="job_type" >نوع الوظيفة</label>

        <div class="custom-input-field">
            <select name="job_type" required class="input select_">
                <option value="">اختر نوع الوظيفة</option>
                <option value="طالب" @if ((isset($request->job_type) && $request->job_type == 'طالب') || old('job_type') == 'طالب') selected @endif>طالب</option>
                <option value="حكومى" @if ((isset($request->job_type) && $request->job_type == 'حكومى') || old('job_type') == 'حكومى') selected @endif>حكومى</option>
                <option value="خاص" @if ((isset($request->job_type) && $request->job_type == 'خاص') || old('job_type') == 'خاص') selected @endif>خاص</option>
                <option value="بدون عمل" @if ((isset($request->job_type) && $request->job_type == 'بدون عمل') || old('job_type') == 'بدون عمل') selected @endif>بدون عمل</option>
            </select>
            @error('job_type')
                <span class="invalid-feedback" role="alert">
                    <strong>{{ $message }}</strong>
                </span>
            @enderror
        </div>
    </div> --}}
    <div class="rows col-12">
        <label for="monthly_income">الدخل الشهرى</label>

        <div class="custom-input-field">
            <select name="monthly_income" class="input select_" required>
                <option value="">حدد الاختيار</option>
                {{-- <option value="">اختر الدخل الشهرى</option> --}}
                <option value="1 – 3000" @if ((isset($request->monthly_income) && $request->monthly_income == '1 – 3000') || old('monthly_income') == '1 – 3000') selected @endif>1 – 3000</option>
                <option value="3100 – 6000" @if (
                    (isset($request->monthly_income) && $request->monthly_income == '3100 – 6000') ||
                        old('monthly_income') == '3100 – 6000') selected @endif>3100 – 6000</option>
                <option value="6100 – 9000" @if (
                    (isset($request->monthly_income) && $request->monthly_income == '6100 – 9000') ||
                        old('monthly_income') == '6100 – 9000') selected @endif>6100 – 9000</option>
                <option value="9100 – 12000" @if (
                    (isset($request->monthly_income) && $request->monthly_income == '9100 – 12000') ||
                        old('monthly_income') == '9100 – 12000') selected @endif>9100 – 12000</option>
                <option value="12000 – 15000" @if (
                    (isset($request->monthly_income) && $request->monthly_income == '12000 – 15000') ||
                        old('monthly_income') == '12000 – 15000') selected @endif>12000 – 15000</option>
                <option value="اكثر من 15000" @if (
                    (isset($request->monthly_income) && $request->monthly_income == 'اكثر من 15000') ||
                        old('monthly_income') == 'اكثر من 15000') selected @endif>اكثر من 15000</option>
                <option value="غير مهم" @if (isset($request->monthly_income) && $request->monthly_income == 'غير مهم') selected @endif>غير مهم</option>

            </select>
            @error('monthly_income')
                <span class="invalid-feedback" role="alert">
                    <strong>{{ $message }}</strong>
                </span>
            @enderror
        </div>
    </div>
    <h1 class="tit"> عدم التنازل </h1>
    {{-- <div class="rows col-12"> --}}
        <div class="form-group row">

            @php
                $options = [];
                if (isset($request->options) && $request->options != null && $request->options != '') {
                    $options = explode(',', $request->options);
                }

            @endphp

            {{-- <label class="col-sm-12 col-form-label text-md-left">عدم التنازل</label> --}}

            <div class="form-checkbox col-sm-3">
                <input class="form-check-input custom-checkbox" id="options1"
                    @if (in_array('الجنسية', $options)) checked @endif type="checkbox" name="options[]" value="الجنسية">
                <label class="form-check-label" for="options1">الجنسية</label>
            </div>

            <div class="form-checkbox col-sm-3">
                <input class="form-check-input custom-checkbox" id="options2"
                    @if (in_array('القبلية', $options)) checked @endif type="checkbox" name="options[]" value="القبلية">
                <label class="form-check-label" for="options2">القبلية</label>
            </div>
            <div class="form-checkbox col-sm-3">
                <input class="form-check-input custom-checkbox" id="options3"
                    @if (in_array('المؤهل التعليمى', $options)) checked @endif type="checkbox" name="options[]"
                    value="المؤهل التعليمى">
                <label class="form-check-label" for="options3">المؤهل التعليمى</label>
            </div>
            <div class="form-checkbox col-sm-3">
                <input class="form-check-input custom-checkbox" id="options4"
                    @if (in_array('مكان الاقامة', $options)) checked @endif type="checkbox" name="options[]"
                    value="مكان الاقامة">
                <label class="form-check-label" for="options4">مكان الاقامة</label>
            </div>
            <div class="form-checkbox col-sm-3">
                <input class="form-check-input custom-checkbox" id="options5"
                    @if (in_array('العمر', $options)) checked @endif type="checkbox" name="options[]" value="العمر">
                <label class="form-check-label" for="options5">العمر</label>
            </div>
            <div class="form-checkbox col-sm-3">
                <input class="form-check-input custom-checkbox" id="options6"
                    @if (in_array('التدين', $options)) checked @endif type="checkbox" name="options[]" value="التدين">
                <label class="form-check-label" for="options6">التدين</label>
            </div>
            <div class="form-checkbox col-sm-3">
                <input class="form-check-input custom-checkbox" id="options7"
                    @if (in_array('الحالة الاجتماعية', $options)) checked @endif type="checkbox" name="options[]"
                    value="الحالة الاجتماعية">
                <label class="form-check-label" for="options7">الحالة الاجتماعية</label>
            </div>
            <div class="form-checkbox col-sm-3">
                <input class="form-check-input custom-checkbox" id="options8"
                    @if (in_array('نوع الوظيفة', $options)) checked @endif type="checkbox" name="options[]"
                    value="نوع الوظيفة">
                <label class="form-check-label" for="options8">نوع الوظيفة</label>
            </div>
            <div class="form-checkbox col-sm-3">
                <input class="form-check-input custom-checkbox" id="options10"
                    @if (in_array('التدخين', $options)) checked @endif type="checkbox" name="options[]" value="التدخين">
                <label class="form-check-label" for="options10">التدخين</label>
            </div>
            <div class="form-checkbox col-sm-3">
                <input class="form-check-input custom-checkbox" id="options15"
                    @if (in_array('الدخل الشهرى', $options)) checked @endif type="checkbox" name="options[]"
                    value="الدخل الشهرى">
                <label class="form-check-label" for="options15">الدخل الشهرى</label>
            </div>

        </div>
    {{-- </div> --}}
    <div class="rows col-12 p-0">
        <button class="submit" type="submit"> انتقل الي مرحلة الاخيرة </button>
    </div>



    {!! Form::close() !!}

@endsection
@section('scripts')
    <script>
        $('#health_status').val();
        $('#health_status').on('change', function() {
            console.log($('#health_status').val());
            if ($(this).val() == 'مريض') {
                $('#diseaseForm').show();
                $('#disease').show();
                $('#disease').prop('required', true);


            } else {
                $('#diseaseForm').hide();
                $('#disease').hide();
                $('#disease').prop('required', false);
            }
        });
    </script>

    <script>
        $('#health_status').val();
        $('#health_status').on('change', function() {
            console.log($('#health_status').val());
            if ($(this).val() == 'الإعاقة') {
                $('#disablityForm').show();
                $('#disability').show();
                $('#disablity').prop('required', true);


            } else {
                $('#disablityForm').hide();
                $('#disability').hide();
                $('#disability').prop('required', false);
            }
        });
    </script>

    <script>
        // $('#tripe').val();
        // $('#tripe').on('change', function() {
        //     if ($(this).val() == 'نعم') {
        //         $('#tripeName').show();
        //         $('#tripe-name').show();
        //         $('#tripe-name').prop('required', true);


        //     } else {
        //         $('#tripeName').hide();
        //         $('#tripe-name').hide();
        //         $('#tripe-name').prop('required', false);
        //     }
        // });
    </script>

    <script>
        $('#children').val();
        $('#children').on('change', function() {
            if ($(this).val() == 'ارمل مع اولاد' || $(this).val() == 'مطلق مع اولاد') {
                $('#childrenField').show();
                $('#children').show();
                $('#children').prop('required', true);
            } else {
                $('#childrenField').hide();
                $('#children').hide();
                $('#children').prop('required', false);
            }
        });
    </script>

    <script>
        $('#spouse').val();
        $('#spouse').on('change', function() {
            if ($(this).val() == 'متزوج') {
                $('#spouseField').show();
                $('#spouse').show();
                $('#spouse').prop('required', true);
            } else {
                $('#spouseField').hide();
                $('#spouse').hide();
                $('#spouse').prop('required', false);
            }
        });
    </script>
@endsection