@extends('layouts.main')

@section('title', 'Update Incident Response Form')

@section('breadcrumb')
    <div class="content-header row">
        <div class="content-header-left col-md-6 col-xs-12 mb-1">
            <h2 class="content-header-title">Update Incident Response Form</h2>
        </div>
        <div class="content-header-right breadcrumbs-right breadcrumbs-top col-md-6 col-xs-12">
            <div class="breadcrumb-wrapper col-xs-12">
                <ol class="breadcrumb">
                    <li class="breadcrumb-item">
                        <a href="{{ url('/') }}">Home</a>
                        |
                        <span>Settings</span>
                        |
                        <span>UIRF</span>
                    </li>
                </ol>
            </div>
        </div>
    </div>
@endsection

@section('content')
    <div class="content-body">
        <div class="row">
            <div class="col-md-12">
                <section id="description" class="card" style="height: 800px">
                    <div class="card-body collapse in">
                        <div class="card-block">
                            <form class="form" action="" method="post">
                                {{ csrf_field() }}
                                <input type="hidden" name="client_id" value="{{ \Illuminate\Support\Facades\Auth::user()->getClientIdFromIntranet() }}" />
                                <div class="form-body">
                                    <h4 class="form-section"><i class="icon-head"></i> Client Information</h4>
                                    <div class="row">
                                        <div class="col-md-6">
                                            <div class="form-group {{ $errors->has('Company') ? ' has-error' : '' }}">
                                                <label for="Company">Company Name</label>
                                                <input type="text" id="Company" name="Company" class="form-control" placeholder="Company Name"
                                                       value="@if(old('Company')) {{old('Company')}} @else {{ $form->Company }} @endif"/>
                                                @if ($errors->has('Company'))
                                                    <span class="help-block">
                                                        <strong>{{ $errors->first('Company') }}</strong>
                                                    </span>
                                                @endif
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="form-group {{ $errors->has('contactname') ? ' has-error' : '' }}">
                                                <label for="last-name">Security Contact Name</label>
                                                <input type="text" id="contactname" class="form-control" placeholder="Contact Name" name="contactname" required
                                                       value="@if(old('contactname')) {{old('contactname')}} @else {{ $form->contactname }} @endif"/>
                                                @if ($errors->has('contactname'))
                                                    <span class="help-block">
                                                        <strong>{{ $errors->first('contactname') }}</strong>
                                                    </span>
                                                @endif
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row">
                                        <div class="col-md-6">
                                            <div class="form-group {{ $errors->has('phonenumber1') ? ' has-error' : '' }}">
                                                <label for="phonenumber1">Security Contact Phone Number (1st)</label>
                                                <input type="text" id="phonenumber1" class="form-control" placeholder="Security Contact Phone Number (1st)" name="phonenumber1" required
                                                       value="@if(old('phonenumber1')) {{old('phonenumber1')}} @else {{ $form->phonenumber1  }} @endif"/>
                                                @if ($errors->has('phonenumber1'))
                                                    <span class="help-block">
                                                        <strong>{{ $errors->first('phonenumber1') }}</strong>
                                                    </span>
                                                @endif
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="form-group {{ $errors->has('phonenumber2') ? ' has-error' : '' }}">
                                                <label for="phonenumber2">Security Contact Phone Number  (2nd)</label>
                                                <input type="text" id="phonenumber2" class="form-control" placeholder="Security Contact Phone Number (2nd)" name="phonenumber2" required
                                                       value="@if(old('phonenumber2')) {{old('phonenumber2')}} @else {{ $form->phonenumber2  }} @endif"/>
                                                @if ($errors->has('phonenumber2'))
                                                    <span class="help-block">
                                                        <strong>{{ $errors->first('phonenumber2') }}</strong>
                                                    </span>
                                                @endif
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row">
                                        <div class="col-md-6">
                                            <div class="form-group {{ $errors->has('email1') ? ' has-error' : '' }}">
                                                <label for="email1">Security Contact Email Address (1st)</label>
                                                <input type="email" id="email1" class="form-control" placeholder="Security Contact Email Address (1st)" name="email1" required
                                                       value="@if(old('email1')) {{old('email1')}} @else {{ $form->email1 }} @endif"/>
                                                @if ($errors->has('email1'))
                                                    <span class="help-block">
                                                        <strong>{{ $errors->first('email1') }}</strong>
                                                    </span>
                                                @endif
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="form-group {{ $errors->has('email2') ? ' has-error' : '' }}">
                                                <label for="email2">Security Contact Email Address (2nd)</label>
                                                <input type="email" id="email2" class="form-control" placeholder="Security Contact Email Address (2nd)" name="email2" required
                                                       value="@if(old('email2')) {{old('email2')}} @else {{ $form->email2 }} @endif"/>
                                                @if ($errors->has('email2'))
                                                    <span class="help-block">
                                                        <strong>{{ $errors->first('email2') }}</strong>
                                                    </span>
                                                @endif
                                            </div>
                                        </div>
                                    </div>
                                    <h4 class="form-section"><i class="icon-head"></i> Actions</h4>
                                    <div class="row">
                                        <div class="col-md-12">
                                            <div class="table-responsive">
                                                <table class="table mb-0">
                                                    <thead>
                                                        <tr>
                                                            <th>Severity Level</th>
                                                            <th>Action / No-Action</th>
                                                            <th>Call</th>
                                                            <th>Email</th>
                                                        </tr>
                                                    </thead>
                                                    <tbody>
                                                    <tr>
                                                        <th scope="row" class="text-danger">High</th>
                                                        <td>
                                                            <select id="actionhigh" name="actionhigh" class="form-control">
                                                                <option value="0" selected="" disabled="">Select action</option>
                                                                <option value="yes">Yes</option>
                                                                <option value="no">No</option>
                                                            </select>
                                                        </td>
                                                        <td>
                                                            <select id="callhigh" name="callhigh" class="form-control">
                                                                <option value="none" selected="" disabled="">Select action</option>
                                                                <option value="yes">Yes</option>
                                                                <option value="no">No</option>
                                                            </select>
                                                        </td>
                                                        <td>
                                                            <select id="emailhigh" name="emailhigh" class="form-control">
                                                                <option value="none" selected="" disabled="">Select action</option>
                                                                <option value="yes">Yes</option>
                                                                <option value="no">No</option>
                                                            </select>
                                                        </td>
                                                    </tr>
                                                    <tr>
                                                        <th scope="row" class="text-info">Medium</th>
                                                        <td>
                                                            <select id="actionmedium" name="actionmedium" class="form-control">
                                                                <option value="none" selected="" disabled="">Select action</option>
                                                                <option value="yes">Yes</option>
                                                                <option value="no">No</option>
                                                            </select>
                                                        </td>
                                                        <td>
                                                            <select id="callmedium" name="callmedium" class="form-control">
                                                                <option value="none" selected="" disabled="">Select action</option>
                                                                <option value="yes">Yes</option>
                                                                <option value="no">No</option>
                                                            </select>
                                                        </td>
                                                        <td>
                                                            <select id="emailmedium" name="emailmedium" class="form-control">
                                                                <option value="none" selected="" disabled="">Select action</option>
                                                                <option value="yes">Yes</option>
                                                                <option value="no">No</option>
                                                            </select>
                                                        </td>
                                                    </tr>
                                                    <tr>
                                                        <th scope="row" class="text-success">Low</th>
                                                        <td>
                                                            <select id="actionlow" name="actionlow" class="form-control">
                                                                <option value="none" selected="" disabled="">Select action</option>
                                                                <option value="yes">Yes</option>
                                                                <option value="no">No</option>
                                                            </select>
                                                        </td>
                                                        <td>
                                                            <select id="calllow" name="calllow" class="form-control">
                                                                <option value="none" selected="" disabled="">Select action</option>
                                                                <option value="yes">Yes</option>
                                                                <option value="no">No</option>
                                                            </select>
                                                        </td>
                                                        <td>
                                                            <select id="emaillow" name="emaillow" class="form-control">
                                                                <option value="none" selected="" disabled="">Select action</option>
                                                                <option value="yes">Yes</option>
                                                                <option value="no">No</option>
                                                            </select>
                                                        </td>
                                                    </tr>
                                                    </tbody>
                                                </table>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="form-actions">
                                        <button type="link" class="btn btn-warning mr-1" href="{{ url('/') }}">
                                            <i class="icon-cross2"></i> Cancel
                                        </button>
                                        <button type="submit" class="btn btn-primary">
                                            <i class="icon-check2"></i> Save
                                        </button>
                                    </div>
                                </div>
                            </form>
                        </div>
                    </div>
                </section>
            </div>
        </div>
    </div>
@endsection