288 lines
14 KiB
HTML
288 lines
14 KiB
HTML
{% extends "layouts/public_base.html" %}
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{% load i18n %}
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{% load static %}
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{% block title %}{% trans "Report an Observation" %}{% endblock %}
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{% block extra_css %}
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<style>
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.file-upload-area {
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border: 2px dashed #e2e8f0;
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border-radius: 12px;
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padding: 30px;
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text-align: center;
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cursor: pointer;
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transition: all 0.2s ease;
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}
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.file-upload-area:hover {
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border-color: #005696;
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background: #f8fafc;
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}
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</style>
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{% endblock %}
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{% block content %}
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<div class="min-h-screen py-8 px-4 sm:px-6 lg:px-8">
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<div class="max-w-2xl mx-auto">
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<!-- Main Card -->
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<div class="glass-card rounded-3xl shadow-2xl p-8 md:p-10 animate-fade-in">
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<!-- Header -->
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<div class="text-center mb-6">
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<div class="w-16 h-16 bg-gradient-to-br from-navy to-blue rounded-2xl flex items-center justify-center mx-auto mb-4 shadow-lg">
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<i data-lucide="eye" class="w-8 h-8 text-white"></i>
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</div>
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<h1 class="text-2xl font-bold text-navy mb-2">{% trans "Report an Observation" %}</h1>
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<p class="text-slate">{% trans "Help us improve by reporting issues you notice" %}</p>
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</div>
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<!-- Anonymous Notice -->
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<div class="bg-blue-50 border border-blue-100 rounded-xl p-4 mb-6">
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<div class="flex items-start gap-3">
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<i data-lucide="shield-check" class="w-5 h-5 text-navy mt-0.5 flex-shrink-0"></i>
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<div>
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<strong class="text-navy text-sm">{% trans "Anonymous Reporting" %}</strong>
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<p class="text-slate text-sm mt-1 mb-0">
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{% trans "You can submit this report anonymously. Providing your information is optional but may help us follow up if needed." %}
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</p>
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</div>
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</div>
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</div>
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<!-- Messages -->
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{% if messages %}
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{% for message in messages %}
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<div class="bg-green-50 border border-green-200 rounded-xl p-4 mb-4 text-sm text-green-800">
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{{ message }}
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</div>
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{% endfor %}
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{% endif %}
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<!-- Form -->
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<form method="post" enctype="multipart/form-data" id="observationForm">
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{% csrf_token %}
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<!-- Honeypot field (hidden) -->
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{{ form.website }}
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<!-- Hospital -->
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<div class="mb-6">
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<label class="flex items-center gap-2 text-sm font-bold text-navy mb-3">
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<i data-lucide="building-2" class="w-4 h-4"></i>
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{% trans "Hospital" %}
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<span class="text-xs font-normal text-slate">({% trans "optional" %})</span>
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</label>
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<select name="hospital" id="id_hospital" class="w-full border border-slate-200 rounded-xl p-3 text-sm focus:ring-2 focus:ring-navy/20 outline-none">
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<option value="">{% trans "Select hospital" %}</option>
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{% for h in hospitals %}
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<option value="{{ h.id }}">{{ h.name_en }}{% if h.name_ar %} - {{ h.name_ar }}{% endif %}</option>
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{% endfor %}
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</select>
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</div>
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<!-- Category -->
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<div class="mb-6">
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<label class="flex items-center gap-2 text-sm font-bold text-navy mb-3">
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<i data-lucide="tag" class="w-4 h-4"></i>
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{% trans "Category" %}
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<span class="text-xs font-normal text-slate">({% trans "optional" %})</span>
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</label>
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{{ form.category }}
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</div>
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<!-- Title -->
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<div class="mb-6">
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<label class="flex items-center gap-2 text-sm font-bold text-navy mb-3">
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<i data-lucide="type" class="w-4 h-4"></i>
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{% trans "Title" %}
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<span class="text-xs font-normal text-slate">({% trans "optional" %})</span>
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</label>
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{{ form.title }}
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</div>
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<!-- Description -->
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<div class="mb-6">
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<label class="flex items-center gap-2 text-sm font-bold text-navy mb-3">
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<i data-lucide="file-text" class="w-4 h-4"></i>
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{% trans "Description" %}
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<span class="text-red-500">*</span>
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</label>
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{{ form.description }}
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<p class="text-xs text-slate mt-1.5">{% trans "Please describe what you observed in detail." %}</p>
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</div>
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<!-- Location -->
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<div class="mb-6">
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<label class="flex items-center gap-2 text-sm font-bold text-navy mb-3">
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<i data-lucide="map-pin" class="w-4 h-4"></i>
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{% trans "Location" %}
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<span class="text-xs font-normal text-slate">({% trans "optional" %})</span>
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</label>
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<div class="space-y-3">
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<div>
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<label class="block text-xs font-semibold text-slate mb-1.5">{% trans "Building / Area" %}</label>
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<select name="location" id="id_location" class="w-full border border-slate-200 rounded-xl p-3 text-sm focus:ring-2 focus:ring-navy/20 outline-none">
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<option value="">{% trans "Select location" %}</option>
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</select>
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</div>
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<div>
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<label class="block text-xs font-semibold text-slate mb-1.5">{% trans "Section" %}</label>
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<select name="main_section" id="id_main_section" class="w-full border border-slate-200 rounded-xl p-3 text-sm focus:ring-2 focus:ring-navy/20 outline-none" disabled>
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<option value="">{% trans "Select section" %}</option>
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</select>
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</div>
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<div>
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<label class="block text-xs font-semibold text-slate mb-1.5">{% trans "Subsection" %}</label>
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<select name="subsection" id="id_subsection" class="w-full border border-slate-200 rounded-xl p-3 text-sm focus:ring-2 focus:ring-navy/20 outline-none" disabled>
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<option value="">{% trans "Select subsection" %}</option>
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</select>
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</div>
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</div>
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</div>
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<!-- Incident Date/Time -->
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<div class="mb-6">
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<label class="flex items-center gap-2 text-sm font-bold text-navy mb-3">
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<i data-lucide="calendar" class="w-4 h-4"></i>
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{% trans "When did this occur?" %}
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</label>
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{{ form.incident_datetime }}
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</div>
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<!-- Attachments -->
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<div class="mb-6">
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<label class="flex items-center gap-2 text-sm font-bold text-navy mb-3">
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<i data-lucide="paperclip" class="w-4 h-4"></i>
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{% trans "Attachments" %}
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<span class="text-xs font-normal text-slate">({% trans "optional" %})</span>
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</label>
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<div class="file-upload-area" onclick="document.getElementById('attachments').click()">
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<i data-lucide="cloud-upload" class="w-8 h-8 text-navy mx-auto mb-2"></i>
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<p class="text-sm font-semibold text-slate mb-1">{% trans "Click to upload files" %}</p>
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<p class="text-xs text-slate mb-0">{% trans "Images, PDF, Word, Excel (max 10MB each)" %}</p>
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</div>
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<input type="file" id="attachments" name="attachments" multiple
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accept=".jpg,.jpeg,.png,.gif,.pdf,.doc,.docx,.xls,.xlsx"
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style="display: none;" onchange="updateFileList()">
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<div id="fileList" class="mt-2"></div>
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</div>
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<!-- Reporter Information -->
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<div class="mb-8">
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<label class="flex items-center gap-2 text-sm font-bold text-navy mb-2">
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<i data-lucide="user" class="w-4 h-4"></i>
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{% trans "Your Information" %}
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<span class="text-xs font-normal text-slate">({% trans "optional" %})</span>
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</label>
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<p class="text-xs text-slate mb-3">{% trans "Providing your information helps us follow up if needed. Leave blank to submit anonymously." %}</p>
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<div class="grid grid-cols-1 md:grid-cols-2 gap-4">
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<div>
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<label class="block text-xs font-semibold text-slate mb-1.5">{% trans "Staff ID" %}</label>
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{{ form.reporter_staff_id }}
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</div>
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<div>
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<label class="block text-xs font-semibold text-slate mb-1.5">{% trans "Name" %}</label>
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{{ form.reporter_name }}
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</div>
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<div>
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<label class="block text-xs font-semibold text-slate mb-1.5">{% trans "Phone" %}</label>
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{{ form.reporter_phone }}
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</div>
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<div>
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<label class="block text-xs font-semibold text-slate mb-1.5">{% trans "Email" %}</label>
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{{ form.reporter_email }}
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</div>
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</div>
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</div>
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<!-- Submit -->
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<button type="submit" class="w-full bg-navy text-white py-4 rounded-xl font-bold text-lg hover:bg-blue transition shadow-lg shadow-navy/25 flex items-center justify-center gap-2 btn-hover">
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<i data-lucide="send" class="w-5 h-5"></i>
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{% trans "Submit Observation" %}
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</button>
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<!-- Track Link -->
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<div class="text-center mt-4">
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<a href="{% url 'observations:observation_track' %}" class="text-slate hover:text-navy text-sm font-medium transition inline-flex items-center gap-1">
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<i data-lucide="search" class="w-4 h-4"></i>
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{% trans "Track an existing observation" %}
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</a>
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</div>
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</form>
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</div>
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</div>
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</div>
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{% endblock %}
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{% block extra_js %}
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<script>
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{% trans "Select location" as trans_select_location %}
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{% trans "Select section" as trans_select_section %}
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{% trans "Select subsection" as trans_select_subsection %}
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function updateFileList() {
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const input = document.getElementById('attachments');
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const fileList = document.getElementById('fileList');
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fileList.innerHTML = '';
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if (input.files.length > 0) {
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let html = '<div class="space-y-2 mt-3">';
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for (let i = 0; i < input.files.length; i++) {
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html += '<div class="flex items-center gap-2 bg-slate-50 rounded-lg px-3 py-2 text-sm text-slate"><i data-lucide="file" class="w-4 h-4"></i>' + input.files[i].name + '</div>';
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}
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html += '</div>';
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fileList.innerHTML = html;
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lucide.createIcons();
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}
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}
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function loadLocations() {
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fetch('/complaints/public/api/locations/')
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.then(r => r.json())
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.then(data => {
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const sel = document.getElementById('id_location');
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sel.innerHTML = '<option value="">' + '{{ trans_select_location|escapejs }}' + '</option>';
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data.forEach(loc => {
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sel.innerHTML += '<option value="' + loc.id + '">' + (loc.name_en || loc.name_ar) + '</option>';
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});
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});
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}
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document.getElementById('id_location').addEventListener('change', function() {
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const locId = this.value;
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const sectionSel = document.getElementById('id_main_section');
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const subSel = document.getElementById('id_subsection');
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sectionSel.innerHTML = '<option value="">' + '{{ trans_select_section|escapejs }}' + '</option>';
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sectionSel.disabled = !locId;
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subSel.innerHTML = '<option value="">' + '{{ trans_select_subsection|escapejs }}' + '</option>';
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subSel.disabled = true;
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if (!locId) return;
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fetch('/complaints/public/api/locations/' + locId + '/sections/')
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.then(r => r.json())
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.then(data => {
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data.forEach(sec => {
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sectionSel.innerHTML += '<option value="' + sec.id + '">' + (sec.name_en || sec.name_ar) + '</option>';
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});
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});
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});
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document.getElementById('id_main_section').addEventListener('change', function() {
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const locId = document.getElementById('id_location').value;
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const secId = this.value;
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const subSel = document.getElementById('id_subsection');
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subSel.innerHTML = '<option value="">' + '{{ trans_select_subsection|escapejs }}' + '</option>';
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subSel.disabled = !secId;
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if (!locId || !secId) return;
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fetch('/complaints/public/api/locations/' + locId + '/sections/' + secId + '/subsections/')
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.then(r => r.json())
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.then(data => {
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data.forEach(sub => {
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subSel.innerHTML += '<option value="' + sub.internal_id + '">' + (sub.name_en || sub.name_ar) + '</option>';
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});
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});
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});
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loadLocations();
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</script>
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{% endblock %}
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