Feuerwehr-eppingen/resources/views/inc/survey/vaccinationState.blade.php
Marco Glietsch 0940b264f7 Hinzugefügt
Umfrage zum Impfstatus
2021-11-29 14:49:43 +01:00

126 lines
3.7 KiB
PHP

@extends('layouts.app')
@section('social_media')
<meta property="fb:app_id" content="{{ config('social-media-manager.facebook.app_id') }}"/>
<meta property="og:type" content="website"/>
@endsection
@section('content')
<article class="post-item card pt-3 pb-3 mb-lg-5 shadow-sm">
<div class="row">
<h1 class="col-lg-12 card-title">
Anonyme Abfrage des Impfstatus für Feuerwehrangehörige der Freiwilligen Feuerwehr Eppingen - Gesamtwehr
</h1>
</div>
<div class="row">
<div class="col-lg-12">
<hr>
</div>
</div>
<!-- -- >
<div class="row">
<div class="col-lg-6">
Links
</div>
<div class="col-lg-6 text-right">
Rechts
</div>
</div>
<div class="row">
<div class="col-lg-12">
<hr>
</div>
</div>
<!-- -->
@if($expired)
<div class="row">
<div class="col">
Es tut uns Leid, aber der Zeitraum für die Statusabfrage ist abgelaufen.
</div>
</div>
@else
<div class="row">
<div class="row">
<div class="col">
Um die Einsatzbereitschaft besser abschätzen zu können bitten wir alle aktiven Angehörigen der Freiwilligen Feuerwehr Eppingen - Gesamtwehr an dieser Umfrage teilzunehmen.
Die Umfrage findet absolut anonym statt.
Es werden lediglich die Daten aus dem untenstehenden Formular gespeichert.
</div>
</div>
</div>
<div class="row">
<div class="col-lg-12 card-content">
<form action="{{ config('app.url') . '/umfrage/impfstatus/abschliessen' }}" method="POST">
<input type="hidden" value="{{ csrf_token() }}" name="_token" />
@include('inc.forms.inputSelect', [
'name' => 'department',
'label' => 'Abteilung *',
'placeholder' => 'Abteilung',
'selected' => old('department.0'),
'modelValue' => 'department',
'modelLabel' => 'department',
'models' => [
(object)['department' => ''],
(object)['department' => 'Adelshofen'],
(object)['department' => 'Elsenz'],
(object)['department' => 'Eppingen'],
(object)['department' => 'Kleingartach'],
(object)['department' => 'Mühlbach'],
(object)['department' => 'Richen'],
(object)['department' => 'Rohrbach']
]
])
@include('inc.forms.inputSelect', [
'name' => 'age',
'label' => 'Alter *',
'placeholder' => '',
'selected' => old('age'),
'modelValue' => 'age',
'modelLabel' => 'age',
'models' => [
(object)['age' => ''],
(object)['age' => '18-25'],
(object)['age' => '26-35'],
(object)['age' => '36-45'],
(object)['age' => '46-55'],
(object)['age' => '56-65'],
]
])
@include('inc.forms.inputSelect', [
'name' => 'state',
'label' => 'Impf-/Genesenenstatus *',
'placeholder' => '',
'selected' => old('state'),
'modelValue' => 'state',
'modelLabel' => 'state',
'models' => [
(object)['state' => ''],
(object)['state' => 'Geimpft'],
(object)['state' => 'Genesen'],
(object)['state' => 'Ich möchte mich vorerst nicht impfen lassen'],
]
])
@include('inc.forms.inputText', [
'name' => 'expiration_date',
'label' => 'Impf-/Genesenenstatus gültig bis',
'placeholder' => 'tt.mm.jjjj',
'value' => $formdata->expiration_date
])
<div class="form-group">
* Pflichtfeld
</div>
<div class="form-group">
<button class="btn btn-primary">Anmelden</button>
</div>
</form>
</div>
</div>
@endif
<div class="row mt-3">
<div class="col-lg-12 social-share">
@include('inc.social_media.facebook.likeShare')
</div>
</div>
</article>
@endsection