@extends('front.default.layout')

@section('meta-keywords', 'emergency, help, medical')
@section('meta-description', 'Get emergency medical help in Bangladesh.')

@section('content')
    <style>
        /* General Body and Container */
        body {
            background-color: #f0f2f5; /* Light gray background for simplicity */
            font-family: 'Segoe UI', Tahoma, Geneva, Verdana, sans-serif;
        }

        .container {
            max-width: 1000px; /* Wider container for the forms */
            padding-top: 50px;
            padding-bottom: 50px;
        }

        /* --- Membership Choice Buttons --- */
        .choice-buttons {
            display: flex;
            justify-content: center;
            gap: 25px; /* Increased gap */
            margin-bottom: 60px; /* More space below buttons */
            flex-wrap: wrap;
        }

        .choice-buttons button {
            padding: 15px 35px; /* Larger buttons */
            font-size: 18px;
            font-weight: 600;
            border-radius: 8px; /* Slightly rounded corners */
            border: 1px solid #ddd; /* Subtle border */
            transition: all 0.3s ease;
            cursor: pointer;
            box-shadow: 0 4px 12px rgba(0, 0, 0, 0.08); /* Softer shadow */
        }

        .btn-general {
            background-color: #007bff; /* Primary blue */
            color: #fff;
        }

        .btn-general:hover {
            background-color: #0056b3; /* Darker blue */
            transform: translateY(-2px);
            box-shadow: 0 6px 15px rgba(0, 0, 0, 0.12);
        }

        .btn-vip {
            background-color: #28a745; /* Success green */
            color: #fff;
        }

        .btn-vip:hover {
            background-color: #218838; /* Darker green */
            transform: translateY(-2px);
            box-shadow: 0 6px 15px rgba(0, 0, 0, 0.12);
        }

        /* --- Emergency Box (Main Form Container) --- */
        .emergency-box {
            background-color: #ffffff; /* Pure white background */
            border-radius: 12px; /* Consistent rounding */
            padding: 40px 50px; /* Generous padding */
            box-shadow: 0 10px 30px rgba(0, 0, 0, 0.1); /* Clean shadow */
            color: #333; /* Darker text for readability */
            text-align: center;
            border: 1px solid #e0e0e0; /* Light border */
        }

        .emergency-box h2 {
            font-weight: 700;
            font-size: 2.2rem;
            margin-bottom: 15px;
            color: #333;
            line-height: 1.3;
        }

        .emergency-box h2 small {
            display: block;
            font-size: 1.1rem;
            color: #666;
            margin-top: 8px;
        }

        .emergency-box h3 {
            font-size: 1.6rem;
            margin-top: 25px;
            color: #333;
        }

        .emergency-box h3 small {
            display: block;
            font-size: 1rem;
            color: #777;
            margin-top: 5px;
        }


        /* --- Form Elements within Emergency Box --- */
        .emergency-box .form-control {
            border-radius: 6px;
            border: 1px solid #ced4da; /* Standard Bootstrap border */
            box-shadow: none;
            padding: 12px 15px;
            background-color: #fdfdfd; /* Slightly off-white for inputs */
            color: #333;
            margin-bottom: 18px; /* Consistent spacing */
            font-size: 1rem;
        }

        .emergency-box .form-control::placeholder {
            color: #999;
            font-weight: 400;
        }

        .emergency-box .form-control:focus {
            border-color: #007bff;
            box-shadow: 0 0 0 0.2rem rgba(0, 123, 255, 0.25);
            outline: none;
        }

        .emergency-box .btn-danger {
            background-color: #dc3545; /* Standard red */
            color: #fff;
            font-weight: 600;
            border-radius: 6px;
            padding: 12px 25px;
            transition: all 0.3s ease-in-out;
            font-size: 1.1rem;
            box-shadow: 0 4px 10px rgba(0, 0, 0, 0.1);
            border: none;
        }

        .emergency-box .btn-danger:hover {
            background-color: #c82333;
            transform: translateY(-2px);
            box-shadow: 0 6px 15px rgba(0, 0, 0, 0.15);
        }

        /* --- Emergency Icon --- */
        .emergency-icon {
            font-size: 60px;
            color: #dc3545; /* Red for emergency */
            margin-bottom: 25px;
            animation: pulse 1.8s infinite cubic-bezier(0.66, 0, 0.34, 1);
        }
        
        .select2-container--default .select2-selection--single {
            height: 38px; /* Match Bootstrap default input height */
            padding: 6px 12px;
            font-size: 1rem;
            border: 1px solid #ced4da;
            border-radius: 0.25rem;
        }
        
        .select2-container--default .select2-selection--single .select2-selection__rendered {
            line-height: 24px;
        }
        
        .select2-container--default .select2-selection--single .select2-selection__arrow {
            height: 36px;
        }

        @keyframes pulse {
            0% {
                transform: scale(1);
                opacity: 1;
            }

            50% {
                transform: scale(1.1);
                opacity: 0.8;
            }

            100% {
                transform: scale(1);
                opacity: 1;
            }
        }

        /* --- Membership Benefits Section --- */
        #membership-benefits {
            background-color: #f8f9fa; /* Light background */
            padding: 25px;
            border-radius: 8px;
            margin-top: 30px;
            text-align: left;
            border: 1px solid #eee;
            color: #333;
        }

        #membership-benefits p {
            font-size: 1.1rem;
            margin-bottom: 15px;
            color: #333;
            font-weight: 500;
        }

        #membership-benefits ul {
            list-style-type: '#';
            padding-left: 25px;
            color: #555;
            margin-bottom: 15px;
        }

        #membership-benefits ul li {
            margin-bottom: 10px;
            line-height: 1.5;
        }

        #membership-benefits .btn {
            border-radius: 20px;
            padding: 8px 20px;
            font-weight: 500;
        }

        /* --- Confirmation Checkbox for Free Membership --- */
        .confirmation-section {
            background-color: #f8f9fa;
            padding: 25px;
            border-radius: 8px;
            margin-top: 30px;
            text-align: center;
            border: 1px solid #eee;
        }
        .confirmation-section p {
            background-color: #e9ecef; /* Lighter background for the text box */
            padding: 15px;
            border-radius: 8px;
            color: #333;
            font-weight: 500;
            font-style: normal;
            font-size: 1.1rem;
            line-height: 1.6;
            border: 1px solid #dee2e6;
        }
        .confirmation-section p span {
            display: block;
            margin-top: 8px;
            font-weight: bold;
            color: #555;
        }

        .confirmation-section .custom-control-label {
            font-size: 1.1rem;
            color: #333; /* Darker label color */
            cursor: pointer;
            position: relative;
            padding-left: 28px;
        }

        .confirmation-section .custom-control-label::before {
            background-color: #fff;
            border: 1px solid #ced4da;
        }

        .confirmation-section .custom-control-input:checked~.custom-control-label::before {
            background-color: #007bff;
            border-color: #007bff;
        }

        .confirmation-section .custom-control-input:checked~.custom-control-label::after {
            background-image: url("data:image/svg+xml,%3csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 8 8'%3e%3cpath fill='%23fff' d='M6.564.75l-3.59 3.612-1.538-1.55L0 4.26 2.974 7.25 8 2.193z'/%3e%3c/svg%3e");
        }

        /* --- Alert Messages --- */
        .alert {
            border-radius: 8px;
            font-size: 1.05rem;
            padding: 15px 20px;
            margin-bottom: 30px;
            text-align: center;
            border: none; /* Remove default alert border */
            box-shadow: 0 2px 8px rgba(0,0,0,0.08); /* Subtle shadow for alerts */
        }

        .alert-success {
            background-color: #d4edda;
            color: #155724;
        }

        .alert-warning {
            background-color: #fff3cd;
            color: #856404;
            font-weight: 500;
        }

        /* --- Form Header (Current/Permanent Address) --- */
        .form-header {
            background-color: #6c757d; /* Dark gray */
            color: #fff !important;
            padding: 12px 15px; /* More padding */
            border-radius: 6px;
            margin-bottom: 20px;
            font-size: 1.1rem;
            font-weight: bold;
            text-align: center;
            width: 100%;
        }

        /* Adjust Select2 appearance */
        .select2-container--default .select2-selection--single {
            border-radius: 6px !important;
            height: auto !important;
            padding: 12px 15px !important;
            border: 1px solid #ced4da !important; /* Match form-control border */
            box-shadow: none !important;
            background-color: #fdfdfd !important; /* Match form-control background */
        }

        .select2-container--default .select2-selection--single .select2-selection__rendered {
            color: #333 !important;
            padding-left: 0 !important;
            line-height: inherit !important;
        }

        .select2-container--default .select2-selection--single .select2-selection__arrow {
            height: auto !important;
            top: 50% !important;
            transform: translateY(-50%) !important;
            right: 15px !important;
        }
        .select2-container .select2-selection--single {
            display: flex;
            align-items: center;
        }

        /* Placeholder style for select2 */
        .select2-container--default .select2-selection--single .select2-selection__placeholder {
            color: #999 !important;
            font-weight: 400 !important;
        }

        /* Responsive adjustments */
        @media (max-width: 767.98px) {
            .emergency-box {
                padding: 30px 20px;
            }

            .emergency-box h2 {
                font-size: 1.8rem;
            }

            .emergency-box h2 small {
                font-size: 1rem;
            }

            .choice-buttons {
                flex-direction: column;
                gap: 15px;
            }

            .choice-buttons button {
                width: 100%;
                font-size: 16px;
            }

            .emergency-box .form-control,
            .emergency-box .btn-danger {
                padding: 10px 15px;
                font-size: 1rem;
            }

            .emergency-icon {
                font-size: 50px;
            }
            .form-group.col-md-6 {
                width: 100%; /* Stack columns on small screens */
            }
        }
    </style>

    <div class="container py-5">

    {{-- Show this if not logged in --}}
    @guest
        <p style="color: #666; margin-top: 20px; font-size: 1.1rem;">
            Please 
            <a href="{{ route('user.login') }}" style="color: #007bff; text-decoration: underline;">Login</a> or 
            <a href="{{ route('user-register', ['type' => 'free']) }}" style="color: #007bff; text-decoration: underline;">Register</a> 
            to avail Free Membership.
        </p>
    @endguest

    {{-- Show this only if logged in --}}
    @auth

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

        {{-- Membership Selection --}}
        @if (!request()->has('type'))
            <div class="text-center mb-5">
                <h2>
                    Select Membership Type To Avail Emergency Medical Service In Bangladesh
                    <br>
                    <small>বাংলাদেশে জরুরি চিকিৎসা সেবা পেতে সদস্যতার ধরণ নির্বাচন করুন</small>
                </h2>
            </div>

            <div class="choice-buttons">
                <form method="GET" action="{{ route('emergency.help.form') }}">
                    <input type="hidden" name="type" value="free">
                    <button type="submit" class="btn btn-general">Free Member</button>
                </form>
                <form method="GET" action="{{ route('emergency.help.form') }}">
                    <input type="hidden" name="type" value="general">
                    <button type="submit" class="btn btn-general">General Member</button>
                </form>
                <form method="GET" action="{{ route('emergency.help.form') }}">
                    <input type="hidden" name="type" value="vip">
                    <button type="submit" class="btn btn-vip">VIP Member</button>
                </form>
            </div>
        @elseif(request('type') === 'free')
         <div class="row justify-content">
        <div class="col-lg-3 col-md-3">
                {{-- Dashboard Options (Sidebar) --}}
                @include('user.inc.site_bar')
            </div>
            {{-- FREE MEMBERSHIP FORM/CONFIRMATION --}}
            <div class="row justify-content-center">
                <div class="col-md-9">
                    <div class="emergency-box">
                        <div class="emergency-icon">
                            <i class="fas fa-ambulance"></i>
                        </div>
                        <h2>Emergency Medical Help Request
                            <br>
                            <small>জরুরী চিকিৎসা সহায়তার অনুরোধ</small>
                        </h2>

                        @if (Auth::check() && isset($user))
                            <h3>Hi, {{ $user->username }}
                                <small> This is your serial number, {{ $user->user_sl }} pls remember this/ এটা আপনার আইডি, দয়া করে মনে রাখবেন।      <small> 
                                </h3>

                            {{-- Confirmation Requirement for Free Membership (Only for logged-in users) --}}
                            <div class="form-group mt-4 confirmation-section">
                                <p class="mb-3">
                                   To take this service you have to pay the service service charge! / এই পরিষেবাটি নিতে হলে আপনাকে  পরিষেবা চার্জ দিতে হবে!
                                    <span>Do you agree?</span>
                                </p>

                                <div class="d-flex justify-content-center gap-4">
                                    <div class="custom-control custom-checkbox mr-4">
                                        <input type="checkbox" id="agreeYes" class="custom-control-input confirm-checkbox" value="yes">
                                        <label class="custom-control-label" for="agreeYes"><strong>Yes</strong></label>
                                    </div>
                                    <div class="custom-control custom-checkbox">
                                        <input type="checkbox" id="agreeNo" class="custom-control-input confirm-checkbox" value="no">
                                        <label class="custom-control-label" for="agreeNo"><strong>No</strong></label>
                                    </div>
                                </div>
                                <input type="hidden" id="confirm_service" name="confirm_service">
                            </div>

                            {{-- Message for "No" selection --}}
                            <div id="not-allowed-msg" class="alert alert-warning mt-4 d-none">
                                এই পরিষেবাটি পেতে আপনাকে অবশ্যই পরিষেবা চার্জ দিতে সম্মত হতে হবে!!!
                            </div>

                            {{-- Emergency Form (Hidden Initially, shown by JS if 'Yes' is clicked) --}}
                            <form method="POST" action="{{ route('emergency.help.submit') }}" class="text-left mt-4 d-none" id="emergency-form">
                                @csrf

                                <input type="hidden" name="type" value="{{ request('type') }}">

                                <div class="row">
                                    <div class="form-group col-md-6">
                                        <input type="text" readonly value="{{ $user->username ?? '' }}" class="form-control" placeholder="Full Name / পুরো নাম" required>
                                        <input type="hidden" name="customer_name" readonly value="{{ $user->username ?? '' }}">
                                        <input type="hidden" name="user_sl" readonly value="{{ $user->user_sl ?? '' }}">
                                        @if ($errors->has('customer_name'))
                                            <small class="text-danger">{{ $errors->first('customer_name') }}</small>
                                        @endif
                                    </div>

                                    <div class="form-group col-md-6">
                                        <input type="text" name="mobile_number" class="form-control" placeholder="Phone / ফোন নম্বর" required>
                                        @if ($errors->has('mobile_number'))
                                            <small class="text-danger">{{ $errors->first('mobile_number') }}</small>
                                        @endif
                                    </div>

                                    <div class="form-group col-md-6">
                                        <input type="text" name="akama_number" class="form-control" placeholder="Akama Number /  আকামা নম্বর" required>
                                        @if ($errors->has('akama_number'))
                                            <small class="text-danger">{{ $errors->first('akama_number') }}</small>
                                        @endif
                                    </div>

                                    <div class="form-group col-md-6">
                                        <input type="text" name="passport_number" class="form-control" placeholder="Passport Number / পাসপোর্ট নম্বর" required>
                                        @if ($errors->has('passport_number'))
                                            <small class="text-danger">{{ $errors->first('passport_number') }}</small>
                                        @endif
                                    </div>

                                    <div class="col-12 mb-3">
                                        <p class="form-header"> Current Address / বর্তমান ঠিকানা </p>
                                    </div>

                                    <div class="form-group col-md-6">
                                        <select class="form-control select-2" name="current_country" id="countrySelect" required>
                                            <option value="">Select Country</option>
                                        </select>
                                        @if ($errors->has('current_country'))
                                            <small class="text-danger">{{ $errors->first('current_country') }}</small>
                                        @endif
                                    </div>

                                    <div class="form-group col-md-6">
                                        <select class="form-control select-2" name="currrent_state" id="stateSelect" required>
                                            <option value="">Select State</option>
                                        </select>
                                        @if ($errors->has('currrent_state'))
                                            <small class="text-danger">{{ $errors->first('currrent_state') }}</small>
                                        @endif
                                    </div>
                                    
                                    <div class="form-group col-md-6">
                                        <input type="text" name="current_post_code" class="form-control" placeholder="Current Postcode / বর্তমান পোস্টকোড" required>
                                        @if ($errors->has('current_post_code'))
                                            <small class="text-danger">{{ $errors->first('current_post_code') }}</small>
                                        @endif
                                    </div>

                                    <div class="form-group col-md-6">
                                        <textarea name="current_address" class="form-control" rows="2" placeholder="Current Address / বর্তমান ঠিকানা" required></textarea>
                                        @if ($errors->has('current_address'))
                                            <small class="text-danger">{{ $errors->first('current_address') }}</small>
                                        @endif
                                    </div>
                                    
                                    <div class="col-12 mb-3">
                                        <p class="form-header"> Permanent Address / স্থায়ী ঠিকানা </p>
                                    </div>
                                    
                                    <div class="form-group col-md-6">
                                        <select class="form-control select-2" name="parmanent_division_id" id="divisionSelect" required>
                                            <option value="">Select Division</option>
                                            @foreach($division as $div)
                                            <option value="{{ $div->id }}">{{ $div->name }}</option>
                                            @endforeach
                                        </select>
                                        @if ($errors->has('parmanent_division_id'))
                                            <small class="text-danger">{{ $errors->first('parmanent_division_id') }}</small>
                                        @endif
                                    </div>

                                    <div class="form-group col-md-6">
                                        <select class="form-control select-2" name="parmanent_district_id" id="districtSelect" required>
                                            <option value="">Select District</option>
                                        </select>
                                        @if ($errors->has('parmanent_district_id'))
                                            <small class="text-danger">{{ $errors->first('parmanent_district_id') }}</small>
                                        @endif
                                    </div>
                                    <div class="form-group col-md-6">
                                        <select class="form-control select-2" name="parmanent_thana_id" id="upazillaSelect" required>
                                            <option value="">Select Upazilla</option>
                                        </select>
                                        @if ($errors->has('parmanent_thana_id'))
                                            <small class="text-danger">{{ $errors->first('parmanent_thana_id') }}</small>
                                        @endif
                                    </div>

                                    <div class="form-group col-md-6">
                                        <input type="text" name="parmanent_post_code" class="form-control" placeholder="Permanent Post Code /  পোস্ট কোড" required>
                                        @if ($errors->has('parmanent_post_code'))
                                            <small class="text-danger">{{ $errors->first('parmanent_post_code') }}</small>
                                        @endif
                                    </div>
                                    
                                    <div class="form-group col-md-6">
                                        <textarea name="help_address" class="form-control" rows="2" placeholder="Where Help is Needed / যে স্থানে সাহায্যের প্রয়োজন" required></textarea>
                                        @if ($errors->has('help_address'))
                                            <small class="text-danger">{{ $errors->first('help_address') }}</small>
                                        @endif
                                    </div>

                                    <div class="form-group col-md-6">
                                        <textarea name="descrive_issue" class="form-control" rows="2" placeholder="Describe the Issue /  সমস্যাটি বর্ণনা করুন" required></textarea>
                                        @if ($errors->has('descrive_issue'))
                                            <small class="text-danger">{{ $errors->first('descrive_issue') }}</small>
                                        @endif
                                    </div>

                                    <div class="form-group col-md-6">
                                        <input type="text" name="local_contact" class="form-control" placeholder="Local Contact / স্থানীয় যোগাযোগ নম্বর" required>
                                        @if ($errors->has('local_contact'))
                                            <small class="text-danger">{{ $errors->first('local_contact') }}</small>
                                        @endif
                                    </div>
                                </div>

                                <button type="submit" class="btn btn-danger btn-block mt-4">
                                    <i class="fas fa-phone-volume"></i> Avail Emergency Help / জরুরি সাহায্যের জন্য যোগাযোগ করুন
                                </button>
                            </form>
                        @else
                            <p style="color: #666; margin-top: 20px; font-size: 1.1rem;">Please <a href="{{ route('user.login') }}" style="color: #007bff; text-decoration: underline;">Login</a> or 
                            <a href="{{ route('user-register', ['type' => 'free']) }}" style="color: #007bff; text-decoration: underline;">Register</a> to avail Free Membership.</p>
                        @endif
                    </div>
                </div>
            </div>
        @elseif(in_array(request('type'), ['general', 'vip']))
            {{--GENERAL or VIP MEMBERSHIP --}}
            <div class="row justify-content-center">
                <div class="col-md-12"> {{-- Changed from col-md-10 col-lg-8 to col-md-12 for consistent width --}}
                    <div class="emergency-box">
                        <div class="emergency-icon">
                            <i class="fas fa-ambulance"></i>
                        </div>
                        <h2>Emergency Medical Help Request
                            <br>
                            <small>জরুরী চিকিৎসা সহায়তার অনুরোধ</small>
                        </h2>

                        @if (Auth::check() && isset($user))
                            <h3>Hi, {{ $user->username }}
                                <small> This is your serial number, {{ $user->user_sl }} pls remember this/ এটা আপনার আইডি, দয়া করে মনে রাখবেন।      <small> 
                                </h3>

                            {{-- Benefits Section with Expand/Collapse (if logged in) --}}
                            <!--<div id="membership-benefits" class="mt-4 text-left">-->
                            <!--    <p><strong>Benefits of {{ ucfirst(request('type')) }} Membership</strong></p>-->
                                
                            <!--    <ul id="benefits-list-short">-->
                            <!--        <li>If you get membership with Tk: 1000/- monthly.</li>-->
                            <!--        <li>You will get non-interest loan up to 1 lac if you pay membership payment for 6 months.</li>-->
                            <!--        <li>You will get 70% discount in ambulance service.</li>-->
                            <!--    </ul>-->

                            <!--    <ul id="benefits-list-full" class="d-none">-->
                            <!--        <li>You will get discount in our dedicated hospitals in Dr. visit, pathology test, and ambulance service.</li>-->
                            <!--        <li>You will get discount in our dedicated pharmacies.</li>-->
                            <!--        <li>You will get discount in our dedicated Legal aid services chamber.</li>-->
                            <!--        <li>You will get discount in dedicated airlines.</li>-->
                            <!--        <li>You will get discount in dedicated transport services in Bangladesh.</li>-->
                            <!--        <li>You will get discount in transporting any dead body back to Bangladesh with full support.</li>-->
                            <!--    </ul>-->

                            <!--    <button type="button" class="btn btn-light btn-sm mt-2" id="read-more-btn">See All Benefits</button>-->
                            <!--    <button type="button" class="btn btn-danger btn-sm mt-2 d-none" id="read-less-btn">Close</button>-->
                            <!--</div>-->


                            {{-- Emergency Form (Always Visible for General/VIP if logged in) --}}
                            <form method="POST" action="{{ route('emergency.help.submit') }}" class="text-left mt-4" id="emergency-form">
                                @csrf

                                <input type="hidden" name="type" value="{{ request('type') }}">

                                <div class="row">
                                    <div class="form-group col-md-6">
                                        <input type="text" readonly value="{{ $user->username ?? '' }}" class="form-control" placeholder="Full Name / পুরো নাম" required>
                                        <input type="hidden" name="customer_name" readonly value="{{ $user->username ?? '' }}">
                                        <input type="hidden" name="user_sl" readonly value="{{ $user->user_sl ?? '' }}">
                                    </div>

                                    <div class="form-group col-md-6">
                                        <input type="text" name="mobile_number" class="form-control" placeholder="Phone / ফোন নম্বর" required>
                                    </div>

                                    <div class="form-group col-md-6">
                                        <input type="text" name="akama_number" class="form-control" placeholder="Akama Number /  আকামা নম্বর" required>
                                    </div>

                                    <div class="form-group col-md-6">
                                        <input type="text" name="passport_number" class="form-control" placeholder="Passport Number / পাসপোর্ট নম্বর" required>
                                    </div>

                                    <div class="col-12 mb-3">
                                        <p class="form-header"> Current Address / বর্তমান ঠিকানা </p>
                                    </div>

                                    <div class="form-group col-md-6">
                                        <select class="form-control select-2" name="current_country" id="countrySelect" required>
                                            <option value="">Select Country</option>
                                        </select>
                                    </div>

                                    <div class="form-group col-md-6">
                                        <select class="form-control select-2" name="currrent_state" id="stateSelect" required>
                                            <option value="">Select State</option>
                                        </select>
                                    </div>
                                    
                                    <div class="form-group col-md-6">
                                        <input name="current_post_code" class="form-control" placeholder="Current Postcode / বর্তমান পোস্টকোড" required>
                                    </div>

                                    <div class="form-group col-md-6">
                                        <textarea name="current_address" class="form-control" rows="2" placeholder="Current Address / বর্তমান ঠিকানা" required></textarea>
                                    </div>
                                    
                                    <div class="col-12 mb-3">
                                        <p class="form-header"> Permanent Address / স্থায়ী ঠিকানা </p>
                                    </div>
                                    
                                    <div class="form-group col-md-6">
                                        <select class="form-control select-2" name="parmanent_division_id" id="divisionSelect" required>
                                            <option value="">Select Division</option>
                                            @foreach($division as $div)
                                            <option value="{{ $div->id }}">{{ $div->name }}</option>
                                            @endforeach
                                        </select>
                                    </div>

                                    <div class="form-group col-md-6">
                                        <select class="form-control select-2" name="parmanent_district_id" id="districtSelect" required>
                                            <option value="">Select District</option>
                                        </select>
                                    </div>
                                    <div class="form-group col-md-6">
                                        <select class="form-control select-2" name="parmanent_thana_id" id="upazillaSelect" required>
                                            <option value="">Select Upazilla</option>
                                        </select>
                                    </div>

                                    <div class="form-group col-md-6">
                                        <input name="parmanent_post_code" class="form-control" placeholder="Permanent Post Code /  পোস্ট কোড" required>
                                    </div>
                                    
                                    <div class="form-group col-md-6">
                                        <textarea name="help_address" class="form-control" rows="2" placeholder="Where Help is Needed / যে স্থানে সাহায্যের প্রয়োজন" required></textarea>
                                    </div>

                                    <div class="form-group col-md-6">
                                        <textarea name="descrive_issue" class="form-control" rows="3" placeholder="Describe the Issue /  সমস্যাটি বর্ণনা করুন" required></textarea>
                                    </div>

                                    <div class="form-group col-md-6">
                                        <input type="text" name="local_contact" class="form-control" placeholder="Local Contact / স্থানীয় যোগাযোগ নম্বর" required>
                                    </div>
                                </div>

                                <button type="submit" class="btn btn-danger btn-block mt-4">
                                    <i class="fas fa-phone-volume"></i> Avail Emergency Help / জরুরি সাহায্যের জন্য যোগাযোগ করুন
                                </button>
                            </form>
                        @else
                            <p style="color: #666; margin-top: 20px; font-size: 1.1rem;">To avail **{{ ucfirst(request('type')) }}** membership services, please <a href="{{ route('user.login') }}" style="color: #007bff; text-decoration: underline;">Login</a> or <a href="{{ route('user-register', ['type' => request('type')]) }}" style="color: #007bff; text-decoration: underline;">Register</a>.</p>
                        @endif
                    </div>
                </div>
            </div>
        @endif
    </div>
    @endauth
  
  
    <script>
    
        document.addEventListener('DOMContentLoaded', function() {
            // For free type only - Confirmation Checkbox Logic
            const checkboxes = document.querySelectorAll('.confirm-checkbox');
            const form = document.getElementById('emergency-form');
            const msg = document.getElementById('not-allowed-msg');
            const hiddenInput = document.getElementById('confirm_service');

            // Only initialize if elements exist (i.e., on the 'free' membership page section)
            if (checkboxes.length > 0 && form && msg && hiddenInput) {
                checkboxes.forEach(checkbox => {
                    checkbox.addEventListener('change', function() {
                        checkboxes.forEach(box => {
                            if (box !== this) box.checked = false;
                        });

                        const selected = this.value;
                        hiddenInput.value = selected; // Update the hidden input value

                        if (selected === 'yes' && this.checked) {
                            form.classList.remove('d-none');
                            msg.classList.add('d-none');
                        } else if (selected === 'no' && this.checked) {
                            form.classList.add('d-none');
                            msg.classList.remove('d-none');
                        } else {
                            // If neither is checked, hide both
                            form.classList.add('d-none');
                            msg.classList.add('d-none');
                        }
                    });
                });
            }

            // Toggle benefits for General/VIP
            const moreBtn = document.getElementById('read-more-btn');
            const lessBtn = document.getElementById('read-less-btn');
            const fullList = document.getElementById('benefits-list-full');
            const shortList = document.getElementById('benefits-list-short');

            // Only initialize if elements exist (i.e., on the 'general' or 'vip' membership page section)
            if (moreBtn && lessBtn && fullList && shortList) {
                moreBtn.addEventListener('click', () => {
                    fullList.classList.remove('d-none');
                    shortList.classList.add('d-none');
                    moreBtn.classList.add('d-none');
                    lessBtn.classList.remove('d-none');
                });

                lessBtn.addEventListener('click', () => {
                    fullList.classList.add('d-none');
                    shortList.classList.remove('d-none');
                    moreBtn.classList.remove('d-none');
                    lessBtn.classList.add('d-none');
                });
            }
        });


    {{-- Countries/States (requires jQuery and Select2) --}}
    
        $(document).ready(function() {
            // Load all countries
            $.ajax({
                url: 'https://countriesnow.space/api/v0.1/countries/positions',
                method: 'GET',
                success: function(response) {
                    if (response.data) {
                        response.data.forEach(function(country) {
                            $('#countrySelect').append(
                                `<option value="${country.name}">${country.name}</option>`
                            );
                        });
                    }
                }
            });

            // Load states on country change
            $('#countrySelect').on('change', function() {
                const country = $(this).val();
                $('#stateSelect').html('<option value="">Loading...</option>');

                if (country) { // Only fetch if a country is selected
                    $.ajax({
                        url: 'https://countriesnow.space/api/v0.1/countries/states',
                        method: 'POST',
                        contentType: 'application/json',
                        data: JSON.stringify({
                            country: country
                        }),
                        success: function(response) {
                            $('#stateSelect').html('<option value="">Select State</option>');
                            if (response.data && response.data.states) {
                                response.data.states.forEach(function(state) {
                                    $('#stateSelect').append(
                                        `<option value="${state.name}">${state.name}</option>`
                                    );
                                });
                            }
                        },
                        error: function() {
                             $('#stateSelect').html('<option value="">Error loading states</option>');
                        }
                    });
                } else {
                    $('#stateSelect').html('<option value="">Select State</option>'); // Reset if no country selected
                }
            });

            // Initialize Select2
            $('.select-2').select2({
                width: '100%', // Ensure full width
                placeholder: function(){
                    // Dynamic placeholder based on field
                    if($(this).attr('name') === 'country') return 'Select Country';
                    if($(this).attr('name') === 'state') return 'Select State';
                    return '';
                },
                allowClear: true // Allows clearing selection
            });

            // Adjust select2 container styles after initialization for visual consistency
            // This needs to be done after select2 has rendered its elements
            setTimeout(() => {
                $('.select2-container--default .select2-selection--single').css({
                    'padding': '12px 15px', /* Match form-control padding */
                    'height': 'auto' /* Allow height to adjust */
                });
            }, 0);

            // You might need to re-apply select2 custom styles on open if they reset
            $('.select-2').on('select2:open', function() {
                setTimeout(() => {
                    $('.select2-container--default .select2-selection--single').css({
                        'padding': '12px 15px',
                        'height': 'auto',
                    });
                }, 0);
            });
        });
        
         $(document).ready(function () {
            $('#divisionSelect').on('change', function () {
                var divisionId = $(this).val();
                console.log(divisionId);
                $('#districtSelect').html('<option value="">Loading...</option>');
                $('#upazillaSelect').html('<option value="">Select Upazilla</option>');
                if (divisionId) {
                    $.ajax({
                        url: '/get-districts/' + divisionId,
                        type: 'GET',
                        success: function (data) {
                            $('#districtSelect').html('<option value="">Select District</option>');
                            $.each(data, function (key, district) {
                                $('#districtSelect').append('<option value="' + district.id + '">' + district.name + '</option>');
                            });
                        }
                    });
                }
            });
    
            // Load Upazillas on District Select
            $('#districtSelect').on('change', function () {
                var districtId = $(this).val();
                $('#upazillaSelect').html('<option value="">Loading...</option>');
                if (districtId) {
                    $.ajax({
                        url: '/get-upazillas/' + districtId,
                        type: 'GET',
                        success: function (data) {
                            $('#upazillaSelect').html('<option value="">Select Upazilla</option>');
                            $.each(data, function (key, upazilla) {
                                $('#upazillaSelect').append('<option value="' + upazilla.id + '">' + upazilla.name + '</option>');
                            });
                        }
                    });
                }
            });
        });
    </script>
@endsection