@extends('layouts.app')

@section('title', 'Report a Save - Mikey Network')

@section('meta_description', 'Share your story of how a MIKEY defibrillator helped save a life. Your experience can
    inspire others and help us track the impact of our program.')

@section('content')
    <div class="banner-container position-relative text-center text-white">
        <!-- Banner Image -->
        <img src="/images/report-a-save.png" class="img-fluid w-100" alt="Report Banner">

    </div>


    <section class="py-3">
        <div class="container">
            <div class="row">
                <div class="col-md-12 col-sm-12">
                    <h1 class="ubuntu-sans-400 text-center  text-grey font-64"> Report A Mikey <span
                            class="text-mikey-red fw-bold">Save</span></h1>
                </div>
            </div>
        </div>
    </section>


    <!--Section Starting -->
    <div class="container ">
        <div class="row my-sm-0 my-md-4 my-lg-5">
            <div class="col-md-6 text-center text-md-start mb-4 mb-md-0">
                <p class="ubuntu-sans-600 fw-regular text-grey mb-5 font-40 pe-sm-0 pe-md-5 pe-lg-5">
                    Do you know about someone who saved a person in cardiac arrest or did you save someone yourself? Please
                    let us know about it!
                </p>

                <p class="font-24 text-grey font-roboto-regular ">
                    We always respect everyone’s privacy and will only share event details with permission.
                </p>

                <div class="mt-5">
                    <img src="/images/heart_contact.png" alt="Heart Image" class="img-fluid" style="max-width: 250px;">
                </div>
            </div>

            <!-- Right Side: Form -->
            <div class="col-md-6 mb-5 mb-sm-5 mb-md-0 mb-lg-0">

                @if (session('success'))
                    <div class="alert alert-success">
                        {{ session('success') }}
                    </div>
                @endif

                @if ($errors->any())
                    <div class="alert alert-danger">
                        <ul>
                            @foreach ($errors->all() as $error)
                                <li>{{ $error }}</li>
                            @endforeach
                        </ul>
                    </div>
                @endif
                <form method="POST" action="/report-a-save" class="form-floating" id="reportASaveForm">
                    @csrf
                    <div class="mb-3">
                        <label class="ubantu-sans-600 text-uppercase font-32 mb-2">Reported By*</label>
                        <input type="text" class="form-control mb-2 rounded-0" id="fullName" name="fullName" placeholder="Name*"
                            required>
                        <input type="email" class="form-control mb-2 rounded-0" id="email" name="email" placeholder="Email*"
                            required>
                        <input type="tel" class="form-control mb-5 rounded-0" id="phone" name="phone" placeholder="Phone*"
                            required>
                    </div>

                    <div class="mb-3">
                        <label class="ubantu-sans-600 font-32 text-uppercase font-14 mb-2">Details of the Save*</label>
                        <p class="font-14 font-roboto-regular  text-muted mb-2">
                            We always respect everyone's privacy and will only share personal details like people's names
                            with permission.
                        </p>
                        <input type="text" class="form-control mb-2 rounded-0" id="place" name="place"
                            placeholder="Place of Event*" required>
                        <input type="text" class="form-control mb-2 rounded-0" id="addresss" name="address"
                            placeholder="Address Location*" required>
                        <input type="text" class="form-control mb-2 rounded-0" id="victimName" name="victimName"
                            placeholder="Victims Name (Optional)">
                        <textarea class="form-control mb-2 rounded-0" id="whatHappened" name="whatHappened" placeholder="Tell us what happened?"></textarea>
                    </div>

                    <button type="submit" class="btn btn-mikey font-14 text-uppercase rounded-0">Submit</button>
                </form>
            </div>
        </div>
    </div>
@endsection