HH/templates/core/public_submit.html
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HTML

{% extends "layouts/public_base.html" %}
{% load i18n static %}
{% block title %}{% trans "Submit Feedback" %} - PX360{% endblock %}
{% block extra_css %}
<style>
/* Hide the header on this page */
header.glass-card {
display: none !important;
}
/* Language switcher styles */
.lang-switcher {
position: fixed;
top: 1rem;
right: 1rem;
z-index: 100;
display: flex;
gap: 0.5rem;
}
.lang-switcher a {
padding: 0.5rem 1rem;
border-radius: 0.75rem;
border: 2px solid rgba(255,255,255,0.3);
background: rgba(255,255,255,0.1);
backdrop-filter: blur(10px);
color: white;
font-weight: 600;
font-size: 0.875rem;
transition: all 0.2s ease;
text-decoration: none;
display: flex;
align-items: center;
gap: 0.5rem;
}
.lang-switcher a:hover {
background: rgba(255,255,255,0.2);
border-color: rgba(255,255,255,0.5);
}
.lang-switcher a.active {
background: white;
color: #005696;
border-color: white;
}
[dir="rtl"] .lang-switcher {
right: auto;
left: 1rem;
}
/* PX360 Theme */
.selection-card {
transition: all 0.3s cubic-bezier(0.4, 0, 0.2, 1);
}
.selection-card:hover {
transform: translateY(-8px);
box-shadow: 0 20px 40px -10px rgba(0, 86, 150, 0.3);
}
.form-container.active {
animation: slideUp 0.4s ease-out;
}
@keyframes slideUp {
from { opacity: 0; transform: translateY(30px); }
to { opacity: 1; transform: translateY(0); }
}
.severity-option {
transition: all 0.2s ease;
cursor: pointer;
}
.severity-option:hover {
transform: translateY(-2px);
}
.severity-option.selected {
border-color: #007bbd !important;
background-color: #eef6fb !important;
box-shadow: 0 4px 12px rgba(0, 123, 189, 0.2);
}
.file-upload-area {
transition: all 0.2s ease;
}
.file-upload-area:hover {
border-color: #007bbd;
background-color: #eef6fb;
}
/* Custom scrollbar for form content */
#formContent::-webkit-scrollbar {
width: 6px;
}
#formContent::-webkit-scrollbar-track {
background: #f1f5f9;
}
#formContent::-webkit-scrollbar-thumb {
background: #cbd5e1;
border-radius: 3px;
}
/* Complaint Form Styles */
.complaint-form {
max-width: 900px;
margin: 0 auto;
padding: 1rem 0;
}
.form-section {
background: white;
border-radius: 1.5rem;
padding: 2rem;
margin-bottom: 1.5rem;
box-shadow: 0 4px 6px -1px rgba(0, 0, 0, 0.05);
border: 1px solid #e2e8f0;
transition: all 0.3s ease;
}
.form-section:hover {
box-shadow: 0 10px 15px -3px rgba(0, 0, 0, 0.1);
}
.form-section h3 {
color: #005696;
margin-bottom: 1.5rem;
padding-bottom: 1rem;
border-bottom: 2px solid #eef6fb;
display: flex;
align-items: center;
gap: 0.75rem;
font-size: 1.25rem;
font-weight: 700;
}
.form-control {
width: 100%;
padding: 0.875rem 1.125rem;
border: 2px solid #cbd5e1;
border-radius: 0.875rem;
font-size: 0.95rem;
transition: all 0.2s;
background: white;
color: #1e293b;
font-family: 'Inter', sans-serif;
}
.form-control:focus {
outline: none;
border-color: #007bbd;
box-shadow: 0 0 0 4px rgba(0, 123, 189, 0.1);
transform: translateY(-1px);
}
.form-label {
display: block;
margin-bottom: 0.625rem;
font-weight: 600;
color: #1e293b;
font-size: 0.9rem;
}
.form-text {
display: block;
margin-top: 0.5rem;
font-size: 0.825rem;
color: #64748b;
}
.required-mark {
color: #ef4444;
}
.alert-box {
padding: 1.5rem 1.75rem;
border-radius: 1.25rem;
margin-bottom: 2rem;
}
.alert-box.info {
background: linear-gradient(135deg, #eef6fb 0%, #e0f2fe 100%);
color: #005696;
border: 2px solid #bae6fd;
}
.location-hierarchy-help {
background: linear-gradient(135deg, #fffbeb 0%, #fef3c7 100%);
border-left: 4px solid #f59e0b;
padding: 1.25rem;
margin: 1.25rem 0;
border-radius: 1rem;
font-size: 0.9rem;
color: #4b5563;
}
[dir="rtl"] .location-hierarchy-help {
border-left: none;
border-right: 4px solid #f59e0b;
}
.btn-submit {
background: linear-gradient(135deg, #005696 0%, #007bbd 100%);
border: none;
padding: 1rem 2.5rem;
border-radius: 1rem;
color: white;
font-weight: 700;
font-size: 1.05rem;
cursor: pointer;
transition: all 0.3s cubic-bezier(0.4, 0, 0.2, 1);
box-shadow: 0 8px 16px rgba(0, 86, 150, 0.25);
display: inline-flex;
align-items: center;
gap: 0.75rem;
}
.btn-submit:hover {
transform: translateY(-3px);
box-shadow: 0 12px 24px rgba(0, 86, 150, 0.35);
}
.btn-submit:disabled {
background: #94a3b8;
cursor: not-allowed;
transform: none;
box-shadow: none;
}
.spinner {
display: inline-block;
width: 1.125rem;
height: 1.125rem;
border: 2px solid rgba(255,255,255,0.3);
border-radius: 50%;
border-top-color: white;
animation: spin 0.8s linear infinite;
}
@keyframes spin {
to { transform: rotate(360deg); }
}
.form-input {
transition: all 0.2s ease;
}
.form-input:focus {
transform: translateY(-1px);
}
.btn-hover {
transition: all 0.3s cubic-bezier(0.4, 0, 0.2, 1);
}
.btn-hover:hover {
transform: translateY(-2px);
box-shadow: 0 10px 20px rgba(0, 86, 150, 0.2);
}
</style>
{% endblock %}
{% block content %}
<!-- Language Switcher -->
<div class="lang-switcher">
{% get_available_languages as LANGUAGES %}
{% get_current_language as LANGUAGE_CODE %}
{% for lang_code, lang_name in LANGUAGES %}
<a href="{% url 'core:set_language' %}?language={{ lang_code }}"
class="{% if LANGUAGE_CODE == lang_code %}active{% endif %}">
<span>{% if lang_code == 'en' %}🇬🇧{% elif lang_code == 'ar' %}🇸🇦{% endif %}</span>
<span>{{ lang_name }}</span>
</a>
{% endfor %}
</div>
<div class="max-w-6xl mx-auto">
<!-- Welcome Card -->
<div id="welcomeCard" class="rounded-3xl shadow-2xl overflow-hidden mb-8 text-center animate-fade-in">
<!-- Logo Banner - Full Width White -->
<div class="bg-white w-full py-8 px-6 flex items-center justify-center">
<img src="{% static 'img/hh-logo.png' %}" alt="Al Hammadi Hospital" class="max-h-16 w-auto object-contain">
</div>
<!-- Text Content Below - White Background -->
<div class="bg-white p-8">
<h1 class="text-2xl font-bold text-navy mb-3">{% trans "We Value Your Feedback" %}</h1>
<p class="text-slate text-base max-w-xl mx-auto">
{% trans "Your feedback helps us improve our services and provide better care for everyone. Choose a category below to get started." %}
</p>
</div>
</div>
<!-- Selection Cards -->
<div class="grid grid-cols-1 md:grid-cols-3 lg:grid-cols-5 gap-6 mb-8" id="selectionCards">
<!-- Complaint Card -->
<div class="selection-card glass-card rounded-2xl shadow-xl border-2 border-transparent p-8 text-center cursor-pointer relative overflow-hidden group"
data-type="complaint">
<div class="absolute top-0 left-0 right-0 h-2 bg-gradient-to-r from-red-400 to-red-600"></div>
<div class="w-16 h-16 rounded-2xl bg-gradient-to-br from-red-50 to-red-100 mx-auto mb-4 flex items-center justify-center group-hover:scale-110 transition-transform duration-300">
<i data-lucide="alert-circle" class="w-8 h-8 text-red-600"></i>
</div>
<h3 class="text-xl font-bold text-navy mb-3">{% trans "Complaint" %}</h3>
<p class="text-slate text-sm leading-relaxed">
{% trans "Report an issue with our services. We take all concerns seriously and will investigate thoroughly." %}
</p>
</div>
<!-- Observation Card -->
<div class="selection-card glass-card rounded-2xl shadow-xl border-2 border-transparent p-8 text-center cursor-pointer relative overflow-hidden group"
data-type="observation">
<div class="absolute top-0 left-0 right-0 h-2 bg-gradient-to-r from-purple-400 to-purple-600"></div>
<div class="w-16 h-16 rounded-2xl bg-gradient-to-br from-purple-50 to-purple-100 mx-auto mb-4 flex items-center justify-center group-hover:scale-110 transition-transform duration-300">
<i data-lucide="eye" class="w-8 h-8 text-purple-600"></i>
</div>
<h3 class="text-xl font-bold text-navy mb-3">{% trans "Observation" %}</h3>
<p class="text-slate text-sm leading-relaxed">
{% trans "Help us improve safety by sharing what you've noticed. Anonymous submissions are welcome." %}
</p>
</div>
<!-- Inquiry Card -->
<div class="selection-card glass-card rounded-2xl shadow-xl border-2 border-transparent p-8 text-center cursor-pointer relative overflow-hidden group"
data-type="inquiry">
<div class="absolute top-0 left-0 right-0 h-2 bg-gradient-to-r from-amber-400 to-amber-600"></div>
<div class="w-16 h-16 rounded-2xl bg-gradient-to-br from-amber-50 to-amber-100 mx-auto mb-4 flex items-center justify-center group-hover:scale-110 transition-transform duration-300">
<i data-lucide="help-circle" class="w-8 h-8 text-amber-600"></i>
</div>
<h3 class="text-xl font-bold text-navy mb-3">{% trans "Inquiry" %}</h3>
<p class="text-slate text-sm leading-relaxed">
{% trans "Have questions? We're here to help with appointments, services, or general information." %}
</p>
</div>
<!-- Appreciation Card -->
<div class="selection-card glass-card rounded-2xl shadow-xl border-2 border-transparent p-8 text-center cursor-pointer relative overflow-hidden group"
data-type="appreciation">
<div class="absolute top-0 left-0 right-0 h-2 bg-gradient-to-r from-green-400 to-emerald-600"></div>
<div class="w-16 h-16 rounded-2xl bg-gradient-to-br from-green-50 to-green-100 mx-auto mb-4 flex items-center justify-center group-hover:scale-110 transition-transform duration-300">
<i data-lucide="heart" class="w-8 h-8 text-green-600"></i>
</div>
<h3 class="text-xl font-bold text-navy mb-3">{% trans "Appreciation" %}</h3>
<p class="text-slate text-sm leading-relaxed">
{% trans "Recognize a staff member or team who made a positive difference in your experience." %}
</p>
</div>
<!-- Suggestion Card -->
<div class="selection-card glass-card rounded-2xl shadow-xl border-2 border-transparent p-8 text-center cursor-pointer relative overflow-hidden group"
data-type="suggestion">
<div class="absolute top-0 left-0 right-0 h-2 bg-gradient-to-r from-cyan-400 to-blue-600"></div>
<div class="w-16 h-16 rounded-2xl bg-gradient-to-br from-cyan-50 to-cyan-100 mx-auto mb-4 flex items-center justify-center group-hover:scale-110 transition-transform duration-300">
<i data-lucide="lightbulb" class="w-8 h-8 text-cyan-600"></i>
</div>
<h3 class="text-xl font-bold text-navy mb-3">{% trans "Suggestion" %}</h3>
<p class="text-slate text-sm leading-relaxed">
{% trans "Share your ideas to help us improve our services and facilities for everyone." %}
</p>
</div>
</div>
<!-- Form Container -->
<div class="form-container glass-card rounded-3xl shadow-2xl p-8 mb-8 hidden animate-slide-up" id="publicFormContainer">
<!-- Back Button -->
<div class="mb-6">
<button class="inline-flex items-center gap-2 px-6 py-3 bg-white text-navy border-2 border-navy font-bold rounded-xl hover:bg-navy hover:text-white transition-all duration-200 shadow-md hover:shadow-lg"
onclick="resetToSelection()">
<i data-lucide="arrow-left" class="w-5 h-5"></i>
{% trans "Back to Selection" %}
</button>
</div>
<!-- Loading Spinner -->
<div class="loading-spinner text-center py-16 hidden" id="loadingSpinner">
<div class="inline-block w-14 h-14 border-4 border-slate-200 border-t-blue rounded-full animate-spin mb-4"></div>
<p class="text-slate text-sm font-medium">{% trans "Loading form..." %}</p>
</div>
<!-- Form Content -->
<div id="formContent" class="pr-2"></div>
</div>
<!-- Track Submission Links -->
<div class="glass-card rounded-2xl shadow-xl p-8 text-center">
<p class="text-slate mb-4 font-medium">{% trans "Already submitted something?" %}</p>
<a href="{% url 'core:public_track' %}"
class="inline-flex items-center gap-2 px-8 py-3.5 bg-navy text-white rounded-xl hover:bg-blue transition font-semibold shadow-lg shadow-navy/30 btn-hover text-lg">
<i data-lucide="search" class="w-5 h-5"></i>
{% trans "Track Your Submission" %}
</a>
</div>
</div>
<!-- Success Modal -->
<div id="successModal" class="fixed inset-0 bg-black/50 backdrop-blur-sm z-50 hidden flex items-center justify-center p-4">
<div class="bg-white rounded-3xl shadow-2xl w-full max-w-sm p-8 text-center animate-slide-up">
<div class="inline-flex items-center justify-center w-20 h-20 bg-gradient-to-br from-emerald-400 to-emerald-600 rounded-full mb-6 shadow-xl">
<i data-lucide="check" class="w-10 h-10 text-white"></i>
</div>
<h3 class="text-2xl font-bold text-navy mb-3">{% trans "Submitted Successfully!" %}</h3>
<p class="text-slate text-sm mb-4">{% trans "Your submission has been received and will be reviewed." %}</p>
<div class="bg-light rounded-xl p-4 mb-6">
<p class="text-slate text-xs font-semibold mb-1">{% trans "Reference Number:" %}</p>
<span id="referenceNumber" class="text-2xl font-bold text-navy tracking-wide"></span>
</div>
<button onclick="closeSuccessModal()" class="w-full bg-gradient-to-r from-navy to-blue text-white px-6 py-3.5 rounded-xl font-semibold hover:shadow-xl transition btn-hover">
{% trans "Done" %}
</button>
</div>
</div>
{% endblock %}
{% block extra_js %}
<script src="{% static 'vendor/sweetalert2/sweetalert2.all.min.js' %}"></script>{% trans "Error" as t_error %}
{% trans "Failed to load form." as t_failed_to_load_form %}
{% trans "Select Category" as t_select_category %}
{% trans "optional" as t_optional %}
{% trans "Report an Observation" as t_report_an_observation %}
{% trans "Help us improve by reporting issues you notice. Your input is valuable." as t_help_us_improve_by_reporting_issues_you_notice_you %}
{% trans "Category" as t_category %}
{% trans "Severity" as t_severity %}
{% trans "Low" as t_low %}
{% trans "Medium" as t_medium %}
{% trans "High" as t_high %}
{% trans "Critical" as t_critical %}
{% trans "Title" as t_title %}
{% trans "Brief descriptive title" as t_brief_descriptive_title %}
{% trans "Description" as t_description %}
{% trans "Describe what you observed in detail..." as t_describe_what_you_observed_in_detail %}
{% trans "Location" as t_location %}
{% trans "Where did this occur?" as t_where_did_this_occur %}
{% trans "When" as t_when %}
{% trans "Attachments" as t_attachments %}
{% trans "Click to upload files" as t_click_to_upload_files %}
{% trans "Images, PDF, Word (max 10MB)" as t_images_pdf_word_max_10mb %}
{% trans "Your Info" as t_your_info %}
{% trans "optional - leave blank for anonymous" as t_optional_leave_blank_for_anonymous %}
{% trans "Staff ID" as t_staff_id %}
{% trans "Name" as t_name %}
{% trans "Phone" as t_phone %}
{% trans "Email" as t_email %}
{% trans "Submit Observation" as t_submit_observation %}
{% trans "Submitting..." as t_submitting %}
{% trans "Failed to submit" as t_failed_to_submit %}
{% trans "Select Hospital" as t_select_hospital %}
{% trans "Inquiry Details" as t_inquiry_details %}
{% trans "Your full name" as t_your_full_name %}
{% trans "Email Address" as t_email_address %}
{% trans "Phone Number" as t_phone_number %}
{% trans "Your phone number" as t_your_phone_number %}
{% trans "Hospital" as t_hospital %}
{% trans "General Inquiry" as t_general_inquiry %}
{% trans "Services Information" as t_services_information %}
{% trans "Appointments" as t_appointments %}
{% trans "Billing & Insurance" as t_billing_insurance %}
{% trans "Medical Records" as t_medical_records %}
{% trans "Other" as t_other %}
{% trans "Subject" as t_subject %}
{% trans "Brief subject of your inquiry" as t_brief_subject_of_your_inquiry %}
{% trans "Message" as t_message %}
{% trans "Please describe your inquiry in detail..." as t_please_describe_your_inquiry_in_detail %}
{% trans "Submit Inquiry" as t_submit_inquiry %}
{% trans "Failed" as t_failed %}
{% trans "Select Location" as t_select_location %}
{% trans "Main Section" as t_main_section %}
{% trans "Subsection" as t_subsection %}
{% trans "Select Main Section" as t_select_main_section %}
{% trans "Select Subsection" as t_select_subsection %}
{% trans "Select Domain" as t_select_domain %}
{% trans "Select Subcategory" as t_select_subcategory %}
{% trans "Select Classification" as t_select_classification %}
{% trans "Failed to submit. Please try again." as t_failed_to_submit_please_try_again %}
{% trans "Share Your Appreciation" as t_share_your_appreciation %}
{% trans "Recognize a staff member or team who made a difference in your experience." as t_recognize_a_staff_member_or_team_who_made_a_differ %}
{% trans "Your Name" as t_your_name %}
{% trans "Your Phone" as t_your_phone %}
{% trans "Staff / Department Name" as t_staff_department_name %}
{% trans "Name of staff or department" as t_name_of_staff_or_department %}
{% trans "Your Appreciation" as t_your_appreciation %}
{% trans "Share what this person or team did that made your experience special..." as t_share_what_this_person_or_team_did_that_made_your_ %}
{% trans "Submit Appreciation" as t_submit_appreciation %}
{% trans "Thank You!" as t_thank_you %}
{% trans "Thank you for your appreciation! Your kind words will be reviewed and shared with the staff member or department you recognized." as t_thank_you_for_your_appreciation_your_kind_words_wi %}
{% trans "Share Your Suggestion" as t_share_your_suggestion %}
{% trans "Your ideas help us improve. Share how we can make our services better for everyone." as t_your_ideas_help_us_improve_share_how_we_can_make_o %}
{% trans "Suggestion Area" as t_suggestion_area %}
{% trans "General" as t_general %}
{% trans "Clinical Care" as t_clinical_care %}
{% trans "Facility & Environment" as t_facility_environment %}
{% trans "Staff Service" as t_staff_service %}
{% trans "Communication" as t_communication %}
{% trans "Technology & Systems" as t_technology_systems %}
{% trans "Food Service" as t_food_service %}
{% trans "Appointment & Scheduling" as t_appointment_scheduling %}
{% trans "Suggestion Title" as t_suggestion_title %}
{% trans "Brief title for your suggestion" as t_brief_title_for_your_suggestion %}
{% trans "Your Suggestion" as t_your_suggestion %}
{% trans "Describe your suggestion in detail. What would you like to see improved or changed?" as t_describe_your_suggestion_in_detail_what_would_you_ %}
{% trans "Submit Suggestion" as t_submit_suggestion %}
{% trans "Thank you for your suggestion! We appreciate your input and will review it carefully." as t_thank_you_for_your_suggestion_we_appreciate_your_i %}
{% trans "Failed to load hospitals." as t_failed_to_load_hospitals %}
{% trans "Ask a question. We'll respond within 24-48 hours." as t_ask_a_question_we_ll_respond_within_24_48_hours %}
<script>
var T = {
error: '{{ t_error|escapejs }}',
failed_to_load_form: '{{ t_failed_to_load_form|escapejs }}',
select_category: '{{ t_select_category|escapejs }}',
optional: '{{ t_optional|escapejs }}',
report_an_observation: '{{ t_report_an_observation|escapejs }}',
help_us_improve_by_reporting_issues_you_notice_you: '{{ t_help_us_improve_by_reporting_issues_you_notice_you|escapejs }}',
category: '{{ t_category|escapejs }}',
severity: '{{ t_severity|escapejs }}',
low: '{{ t_low|escapejs }}',
medium: '{{ t_medium|escapejs }}',
high: '{{ t_high|escapejs }}',
critical: '{{ t_critical|escapejs }}',
title: '{{ t_title|escapejs }}',
brief_descriptive_title: '{{ t_brief_descriptive_title|escapejs }}',
description: '{{ t_description|escapejs }}',
describe_what_you_observed_in_detail: '{{ t_describe_what_you_observed_in_detail|escapejs }}',
location: '{{ t_location|escapejs }}',
where_did_this_occur: '{{ t_where_did_this_occur|escapejs }}',
when: '{{ t_when|escapejs }}',
attachments: '{{ t_attachments|escapejs }}',
click_to_upload_files: '{{ t_click_to_upload_files|escapejs }}',
images_pdf_word_max_10mb: '{{ t_images_pdf_word_max_10mb|escapejs }}',
your_info: '{{ t_your_info|escapejs }}',
optional_leave_blank_for_anonymous: '{{ t_optional_leave_blank_for_anonymous|escapejs }}',
staff_id: '{{ t_staff_id|escapejs }}',
name: '{{ t_name|escapejs }}',
phone: '{{ t_phone|escapejs }}',
email: '{{ t_email|escapejs }}',
submit_observation: '{{ t_submit_observation|escapejs }}',
submitting: '{{ t_submitting|escapejs }}',
failed_to_submit: '{{ t_failed_to_submit|escapejs }}',
select_hospital: '{{ t_select_hospital|escapejs }}',
inquiry_details: '{{ t_inquiry_details|escapejs }}',
your_full_name: '{{ t_your_full_name|escapejs }}',
email_address: '{{ t_email_address|escapejs }}',
phone_number: '{{ t_phone_number|escapejs }}',
your_phone_number: '{{ t_your_phone_number|escapejs }}',
hospital: '{{ t_hospital|escapejs }}',
general_inquiry: '{{ t_general_inquiry|escapejs }}',
services_information: '{{ t_services_information|escapejs }}',
appointments: '{{ t_appointments|escapejs }}',
billing_insurance: '{{ t_billing_insurance|escapejs }}',
medical_records: '{{ t_medical_records|escapejs }}',
other: '{{ t_other|escapejs }}',
subject: '{{ t_subject|escapejs }}',
brief_subject_of_your_inquiry: '{{ t_brief_subject_of_your_inquiry|escapejs }}',
message: '{{ t_message|escapejs }}',
please_describe_your_inquiry_in_detail: '{{ t_please_describe_your_inquiry_in_detail|escapejs }}',
submit_inquiry: '{{ t_submit_inquiry|escapejs }}',
failed: '{{ t_failed|escapejs }}',
select_location: '{{ t_select_location|escapejs }}',
main_section: '{{ t_main_section|escapejs }}',
subsection: '{{ t_subsection|escapejs }}',
select_main_section: '{{ t_select_main_section|escapejs }}',
select_subsection: '{{ t_select_subsection|escapejs }}',
select_domain: '{{ t_select_domain|escapejs }}',
select_subcategory: '{{ t_select_subcategory|escapejs }}',
select_classification: '{{ t_select_classification|escapejs }}',
failed_to_submit_please_try_again: '{{ t_failed_to_submit_please_try_again|escapejs }}',
share_your_appreciation: '{{ t_share_your_appreciation|escapejs }}',
recognize_a_staff_member_or_team_who_made_a_differ: '{{ t_recognize_a_staff_member_or_team_who_made_a_differ|escapejs }}',
your_name: '{{ t_your_name|escapejs }}',
your_phone: '{{ t_your_phone|escapejs }}',
staff_department_name: '{{ t_staff_department_name|escapejs }}',
name_of_staff_or_department: '{{ t_name_of_staff_or_department|escapejs }}',
your_appreciation: '{{ t_your_appreciation|escapejs }}',
share_what_this_person_or_team_did_that_made_your_: '{{ t_share_what_this_person_or_team_did_that_made_your_|escapejs }}',
submit_appreciation: '{{ t_submit_appreciation|escapejs }}',
thank_you: '{{ t_thank_you|escapejs }}',
thank_you_for_your_appreciation_your_kind_words_wi: '{{ t_thank_you_for_your_appreciation_your_kind_words_wi|escapejs }}',
share_your_suggestion: '{{ t_share_your_suggestion|escapejs }}',
your_ideas_help_us_improve_share_how_we_can_make_o: '{{ t_your_ideas_help_us_improve_share_how_we_can_make_o|escapejs }}',
suggestion_area: '{{ t_suggestion_area|escapejs }}',
general: '{{ t_general|escapejs }}',
clinical_care: '{{ t_clinical_care|escapejs }}',
facility_environment: '{{ t_facility_environment|escapejs }}',
staff_service: '{{ t_staff_service|escapejs }}',
communication: '{{ t_communication|escapejs }}',
technology_systems: '{{ t_technology_systems|escapejs }}',
food_service: '{{ t_food_service|escapejs }}',
appointment_scheduling: '{{ t_appointment_scheduling|escapejs }}',
suggestion_title: '{{ t_suggestion_title|escapejs }}',
brief_title_for_your_suggestion: '{{ t_brief_title_for_your_suggestion|escapejs }}',
your_suggestion: '{{ t_your_suggestion|escapejs }}',
describe_your_suggestion_in_detail_what_would_you_: '{{ t_describe_your_suggestion_in_detail_what_would_you_|escapejs }}',
submit_suggestion: '{{ t_submit_suggestion|escapejs }}',
thank_you_for_your_suggestion_we_appreciate_your_i: '{{ t_thank_you_for_your_suggestion_we_appreciate_your_i|escapejs }}',
failed_to_load_hospitals: '{{ t_failed_to_load_hospitals|escapejs }}',
ask_a_question_we_ll_respond_within_24_48_hours: '{{ t_ask_a_question_we_ll_respond_within_24_48_hours|escapejs }}'
};
var CSRF_INPUT = '<input type="hidden" name="csrfmiddlewaretoken" value="{{ csrf_token|escapejs }}">';
</script>
<script>
document.addEventListener('DOMContentLoaded', function() {
lucide.createIcons();
let currentFormType = null;
// Card selection
document.querySelectorAll('.selection-card').forEach(function(card) {
card.addEventListener('click', function() {
const formType = this.getAttribute('data-type');
currentFormType = formType;
document.getElementById('selectionCards').style.display = 'none';
document.getElementById('welcomeCard').style.display = 'none';
const formContainer = document.getElementById('publicFormContainer');
formContainer.classList.remove('hidden');
formContainer.classList.add('active');
loadForm(formType);
});
});
function loadForm(formType) {
document.getElementById('loadingSpinner').classList.remove('hidden');
document.getElementById('formContent').classList.add('hidden');
fetch('/core/api/hospitals/')
.then(r => r.json())
.then(data => {
const hospitals = data.hospitals || [];
if (formType === 'complaint') {
fetch('{% url "complaints:public_complaint_submit" %}')
.then(r => r.text())
.then(html => {
const parser = new DOMParser();
const doc = parser.parseFromString(html, 'text/html');
const formHtml = doc.querySelector('.complaint-form')?.innerHTML || '';
document.getElementById('formContent').innerHTML = formHtml;
setTimeout(() => {
lucide.createIcons();
initComplaintFormInLanding();
}, 100);
showForm();
})
.catch((error) => {
console.error('Error loading complaint form:', error);
document.getElementById('loadingSpinner').classList.add('hidden');
Swal.fire({ icon: 'error', title: T.error, text: T.failed_to_load_form });
});
} else if (formType === 'observation') {
fetchCategoriesAndRenderObservationForm(hospitals);
} else if (formType === 'inquiry') {
renderInquiryForm(hospitals);
} else if (formType === 'appreciation') {
renderAppreciationForm(hospitals);
} else if (formType === 'suggestion') {
renderSuggestionForm(hospitals);
}
})
.catch(() => {
document.getElementById('loadingSpinner').classList.add('hidden');
Swal.fire({ icon: 'error', title: T.error, text: T.failed_to_load_hospitals });
});
}
function fetchCategoriesAndRenderObservationForm(hospitals) {
fetch('/core/api/observation-categories/')
.then(r => r.json())
.then(data => { renderObservationForm(data.categories || [], hospitals); })
.catch(() => {
document.getElementById('loadingSpinner').classList.add('hidden');
Swal.fire({ icon: 'error', title: T.error, text: T.failed_to_load_form });
});
}
function renderObservationForm(categories, hospitals) {
const lang = '{{ LANGUAGE_CODE }}';
let catOptions = '<option value="">' + T.select_category + ' (' + T.optional + ')</option>';
categories.forEach(c => {
const name = lang === 'ar' ? c.name_ar : c.name_en;
catOptions += `<option value="${c.id}">${name}</option>`;
});
let hospOpts = '<option value="">' + T.select_hospital + '</option>';
hospitals.forEach(h => hospOpts += `<option value="${h.id}">${h.name}</option>`);
const formHtml = `
<form id="observationForm" enctype="multipart/form-data">
${CSRF_INPUT}
<div class="mb-6">
<h3 class="text-2xl font-bold text-navy mb-2 flex items-center gap-3">
<i data-lucide="eye" class="w-6 h-6 text-purple-600"></i>
${T.report_an_observation}
</h3>
<p class="text-slate text-sm">${T.help_us_improve_by_reporting_issues_you_notice_you}</p>
</div>
<input type="hidden" name="severity" id="severityInput" value="medium">
<input type="hidden" name="category" value="">
<div class="grid grid-cols-1 md:grid-cols-2 gap-4 mb-5">
<div>
<label class="block text-sm font-semibold text-navy mb-2">${T.name} <span class="text-red-500">*</span></label>
<input type="text" name="reporter_name" required placeholder="${T.your_full_name}"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-purple-500/20 form-input">
</div>
<div>
<label class="block text-sm font-semibold text-navy mb-2">${T.phone_number} <span class="text-red-500">*</span></label>
<input type="tel" name="reporter_phone" maxlength="20" required placeholder="${T.your_phone_number}"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-purple-500/20 form-input">
</div>
</div>
<div class="mb-5">
<label class="block text-sm font-semibold text-navy mb-2">${T.hospital} <span class="text-red-500">*</span></label>
<select name="hospital" required
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-purple-500/20 bg-white form-input">
${hospOpts}
</select>
</div>
<div class="mb-5">
<label class="block text-sm font-semibold text-navy mb-2">${T.description} <span class="text-red-500">*</span></label>
<textarea name="description" rows="5" required placeholder="${T.describe_what_you_observed_in_detail}"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-purple-500/20 resize-none form-input"></textarea>
</div>
<div class="mb-5">
<label class="block text-sm font-semibold text-navy mb-2">${T.location}</label>
<select id="id_location" name="location"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-purple-500/20 bg-white form-input">
<option value="">${T.select_location}</option>
</select>
</div>
<div id="main_section_container" style="display: none;" class="mb-5">
<label class="block text-sm font-semibold text-navy mb-2">${T.main_section}</label>
<select id="id_main_section" name="main_section"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-purple-500/20 bg-white form-input">
<option value="">${T.select_main_section}</option>
</select>
</div>
<div id="subsection_container" style="display: none;" class="mb-5">
<label class="block text-sm font-semibold text-navy mb-2">${T.subsection}</label>
<select id="id_subsection" name="subsection"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-purple-500/20 bg-white form-input">
<option value="">${T.select_subsection}</option>
</select>
</div>
<div class="mb-5">
<label class="block text-sm font-semibold text-navy mb-2">${T.attachments}</label>
<div class="file-upload-area border-2 border-dashed border-slate-300 rounded-xl p-6 text-center cursor-pointer bg-slate-50 hover:bg-blue/5 transition"
onclick="document.getElementById('obsFiles').click()">
<i data-lucide="upload-cloud" class="w-10 h-10 text-purple-600 mx-auto mb-2"></i>
<p class="text-navy text-sm font-semibold">${T.click_to_upload_files}</p>
<p class="text-slate text-xs mt-1">${T.images_pdf_word_max_10mb}</p>
</div>
<input type="file" id="obsFiles" name="attachments" multiple accept=".jpg,.jpeg,.png,.pdf,.doc,.docx" class="hidden" onchange="updateObsFileList()">
<div id="obsFileList" class="mt-3 space-y-2"></div>
</div>
<div class="text-center pt-4 border-t border-slate-100">
<button type="submit" class="bg-gradient-to-r from-purple-600 to-purple-700 text-white px-8 py-3.5 rounded-xl font-semibold hover:shadow-xl transition inline-flex items-center gap-2 btn-hover" id="obsSubmitBtn">
<i data-lucide="send" class="w-5 h-5"></i> ${T.submit_observation}
</button>
</div>
</form>
`;
document.getElementById('formContent').innerHTML = formHtml;
lucide.createIcons();
document.getElementById('observationForm').addEventListener('submit', handleObservationSubmit);
initLocationHierarchy();
showForm();
}
function updateObsFileList() {
const input = document.getElementById('obsFiles');
const list = document.getElementById('obsFileList');
list.innerHTML = '';
if (input.files.length > 0) {
const div = document.createElement('div');
div.className = 'space-y-2';
for (let f of input.files) {
const size = (f.size / 1024 / 1024).toFixed(2);
div.innerHTML += `
<div class="flex items-center gap-3 text-sm text-navy p-3 bg-slate-50 rounded-xl">
<i data-lucide="file" class="w-5 h-5 text-slate-500"></i>
<span class="flex-1 truncate font-medium">${f.name}</span>
<span class="text-slate text-xs">${size} MB</span>
</div>
`;
}
list.appendChild(div);
lucide.createIcons();
}
}
function handleObservationSubmit(e) {
e.preventDefault();
const btn = document.getElementById('obsSubmitBtn');
const original = btn.innerHTML;
btn.disabled = true;
btn.innerHTML = '<span class="inline-block w-5 h-5 border-2 border-white/30 border-t-white rounded-full animate-spin mr-2"></span>' + T.submitting;
fetch('/core/public/observation/submit/', {
method: 'POST',
body: new FormData(this),
headers: { 'X-CSRFToken': getCSRFToken() }
})
.then(r => r.json())
.then(data => {
if (data.success) {
document.getElementById('referenceNumber').textContent = data.tracking_code;
document.getElementById('successModal').classList.remove('hidden');
this.reset();
} else {
Swal.fire({ icon: 'error', title: T.error, text: data.errors?.join('\\n') || T.failed_to_submit });
}
})
.catch(() => Swal.fire({ icon: 'error', title: T.error, text: T.failed_to_submit }))
.finally(() => { btn.disabled = false; btn.innerHTML = original; });
}
function renderInquiryForm(hospitals) {
let opts = '<option value="">' + T.select_hospital + '</option>';
hospitals.forEach(h => opts += `<option value="${h.id}">${h.name}</option>`);
const formHtml = `
<form id="inquiryForm">
${CSRF_INPUT}
<div class="mb-6">
<h3 class="text-2xl font-bold text-navy mb-2 flex items-center gap-3">
<i data-lucide="help-circle" class="w-6 h-6 text-amber-600"></i>
${T.inquiry_details}
</h3>
<p class="text-slate text-sm">${T.ask_a_question_we_ll_respond_within_24_48_hours}</p>
</div>
<div class="grid grid-cols-1 md:grid-cols-2 gap-4 mb-5">
<div>
<label class="block text-sm font-semibold text-navy mb-2">${T.name} <span class="text-red-500">*</span></label>
<input type="text" name="name" required placeholder="${T.your_full_name}"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-amber/20 form-input">
</div>
<div>
<label class="block text-sm font-semibold text-navy mb-2">${T.email_address}</label>
<input type="email" name="email" placeholder="your@email.com"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-amber/20 form-input">
</div>
</div>
<div class="grid grid-cols-1 md:grid-cols-2 gap-4 mb-5">
<div>
<label class="block text-sm font-semibold text-navy mb-2">${T.phone_number} <span class="text-red-500">*</span></label>
<input type="tel" name="phone" maxlength="20" required placeholder="${T.your_phone_number}"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-amber/20 form-input">
</div>
<div>
<label class="block text-sm font-semibold text-navy mb-2">${T.hospital} <span class="text-red-500">*</span></label>
<select name="hospital" required class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-amber/20 bg-white form-input">
${opts}
</select>
</div>
</div>
<div class="mb-5">
<label class="block text-sm font-semibold text-navy mb-2">${T.location}</label>
<select id="id_location" name="location"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-amber/20 bg-white form-input">
<option value="">${T.select_location}</option>
</select>
</div>
<div id="main_section_container" style="display: none;" class="mb-5">
<label class="block text-sm font-semibold text-navy mb-2">${T.main_section}</label>
<select id="id_main_section" name="main_section"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-amber/20 bg-white form-input">
<option value="">${T.select_main_section}</option>
</select>
</div>
<div id="subsection_container" style="display: none;" class="mb-5">
<label class="block text-sm font-semibold text-navy mb-2">${T.subsection}</label>
<select id="id_subsection" name="subsection"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-amber/20 bg-white form-input">
<option value="">${T.select_subsection}</option>
</select>
</div>
<input type="hidden" name="category" value="general">
<div class="mb-6">
<label class="block text-sm font-semibold text-navy mb-2">${T.message} <span class="text-red-500">*</span></label>
<textarea name="message" rows="5" required placeholder="${T.please_describe_your_inquiry_in_detail}"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-amber/20 resize-none form-input"></textarea>
</div>
<div class="text-center pt-4 border-t border-slate-100">
<button type="submit" class="bg-gradient-to-r from-amber-600 to-amber-700 text-white px-8 py-3.5 rounded-xl font-semibold hover:shadow-xl transition inline-flex items-center gap-2 btn-hover" id="inqSubmitBtn">
<i data-lucide="send" class="w-5 h-5"></i> ${T.submit_inquiry}
</button>
</div>
</form>
`;
document.getElementById('formContent').innerHTML = formHtml;
lucide.createIcons();
document.getElementById('inquiryForm').addEventListener('submit', handleInquirySubmit);
initLocationHierarchy();
showForm();
}
function handleInquirySubmit(e) {
e.preventDefault();
const btn = document.getElementById('inqSubmitBtn');
const original = btn.innerHTML;
btn.disabled = true;
btn.innerHTML = '<span class="inline-block w-5 h-5 border-2 border-white/30 border-t-white rounded-full animate-spin mr-2"></span>' + T.submitting;
fetch('{% url "core:public_inquiry_submit" %}', {
method: 'POST',
body: new FormData(this),
headers: { 'X-CSRFToken': getCSRFToken() }
})
.then(r => r.json())
.then(data => {
if (data.success) {
document.getElementById('referenceNumber').textContent = data.reference_number;
document.getElementById('successModal').classList.remove('hidden');
this.reset();
} else {
Swal.fire({ icon: 'error', title: T.error, text: data.message || T.failed });
}
})
.catch(() => Swal.fire({ icon: 'error', title: T.error, text: T.failed }))
.finally(() => { btn.disabled = false; btn.innerHTML = original; });
}
function renderAppreciationForm(hospitals) {
let opts = '<option value="">' + T.select_hospital + '</option>';
hospitals.forEach(h => opts += `<option value="${h.id}">${h.name}</option>`);
const formHtml = `
<form id="appreciationForm">
${CSRF_INPUT}
<div class="mb-6">
<h3 class="text-2xl font-bold text-navy mb-2 flex items-center gap-3">
<i data-lucide="heart" class="w-6 h-6 text-green-600"></i>
${T.share_your_appreciation}
</h3>
<p class="text-slate text-sm">${T.recognize_a_staff_member_or_team_who_made_a_differ}</p>
</div>
<div class="grid grid-cols-1 md:grid-cols-2 gap-4 mb-5">
<div>
<label class="block text-sm font-semibold text-navy mb-2">${T.your_name} <span class="text-red-500">*</span></label>
<input type="text" name="contact_name" required placeholder="${T.your_full_name}"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-green/20 form-input">
</div>
<div>
<label class="block text-sm font-semibold text-navy mb-2">${T.your_phone} <span class="text-red-500">*</span></label>
<input type="tel" name="contact_phone" required placeholder="${T.your_phone_number}"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-green/20 form-input">
</div>
</div>
<div class="grid grid-cols-1 md:grid-cols-2 gap-4 mb-5">
<div>
<label class="block text-sm font-semibold text-navy mb-2">${T.hospital} <span class="text-red-500">*</span></label>
<select name="hospital" required class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-green/20 bg-white form-input">
${opts}
</select>
</div>
<div>
<label class="block text-sm font-semibold text-navy mb-2">${T.staff_department_name} <span class="text-xs font-normal text-slate">(${T.optional})</span></label>
<input type="text" name="staff_name" placeholder="${T.name_of_staff_or_department}"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-green/20 form-input">
</div>
</div>
<div class="mb-5">
<label class="block text-sm font-semibold text-navy mb-2">${T.location}</label>
<select id="id_location" name="location"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-green/20 bg-white form-input">
<option value="">${T.select_location}</option>
</select>
</div>
<div id="main_section_container" style="display: none;" class="mb-5">
<label class="block text-sm font-semibold text-navy mb-2">${T.main_section}</label>
<select id="id_main_section" name="main_section"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-green/20 bg-white form-input">
<option value="">${T.select_main_section}</option>
</select>
</div>
<div id="subsection_container" style="display: none;" class="mb-5">
<label class="block text-sm font-semibold text-navy mb-2">${T.subsection}</label>
<select id="id_subsection" name="subsection"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-green/20 bg-white form-input">
<option value="">${T.select_subsection}</option>
</select>
</div>
<div class="mb-6">
<label class="block text-sm font-semibold text-navy mb-2">${T.your_appreciation} <span class="text-red-500">*</span></label>
<textarea name="message" rows="5" required placeholder="${T.share_what_this_person_or_team_did_that_made_your_}"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-green/20 resize-none form-input"></textarea>
</div>
<div class="text-center pt-4 border-t border-slate-100">
<button type="submit" class="bg-gradient-to-r from-green-500 to-emerald-600 text-white px-8 py-3.5 rounded-xl font-semibold hover:shadow-xl transition inline-flex items-center gap-2 btn-hover" id="apprSubmitBtn">
<i data-lucide="heart" class="w-5 h-5"></i> ${T.submit_appreciation}
</button>
</div>
</form>
`;
document.getElementById('formContent').innerHTML = formHtml;
lucide.createIcons();
document.getElementById('appreciationForm').addEventListener('submit', handleAppreciationSubmit);
initLocationHierarchy();
showForm();
}
function handleAppreciationSubmit(e) {
e.preventDefault();
const btn = document.getElementById('apprSubmitBtn');
const original = btn.innerHTML;
btn.disabled = true;
btn.innerHTML = '<span class="inline-block w-5 h-5 border-2 border-white/30 border-t-white rounded-full animate-spin mr-2"></span>' + T.submitting;
const formData = new FormData(this);
const data = Object.fromEntries(formData.entries());
fetch('/appreciation/public/submit/', {
method: 'POST',
body: JSON.stringify(data),
headers: { 'X-CSRFToken': getCSRFToken(), 'Content-Type': 'application/json' }
})
.then(r => {
if (!r.ok) return r.text().then(t => { throw new Error('HTTP ' + r.status + ': ' + t); });
return r.text().then(t => { try { return JSON.parse(t); } catch(e) { throw new Error('Invalid JSON: ' + t.substring(0, 200)); } });
})
.then(data => {
if (data.success) {
var refBlock = document.getElementById('referenceNumber').closest('.bg-light');
if (refBlock) refBlock.style.display = 'none';
document.querySelector('#successModal h3').textContent = T.thank_you;
document.querySelector('#successModal p').textContent = T.thank_you_for_your_appreciation_your_kind_words_wi;
document.getElementById('successModal').classList.remove('hidden');
this.reset();
} else {
Swal.fire({ icon: 'error', title: T.error, text: data.message || T.failed });
}
})
.catch(err => Swal.fire({ icon: 'error', title: T.error, text: err.message || T.failed }))
.finally(() => { btn.disabled = false; btn.innerHTML = original; });
}
function renderSuggestionForm(hospitals) {
let opts = '<option value="">' + T.select_hospital + '</option>';
hospitals.forEach(h => opts += `<option value="${h.id}">${h.name}</option>`);
const formHtml = `
<form id="suggestionForm">
${CSRF_INPUT}
<div class="mb-6">
<h3 class="text-2xl font-bold text-navy mb-2 flex items-center gap-3">
<i data-lucide="lightbulb" class="w-6 h-6 text-cyan-600"></i>
${T.share_your_suggestion}
</h3>
<p class="text-slate text-sm">${T.your_ideas_help_us_improve_share_how_we_can_make_o}</p>
</div>
<input type="hidden" name="category" value="general">
<div class="grid grid-cols-1 md:grid-cols-2 gap-4 mb-5">
<div>
<label class="block text-sm font-semibold text-navy mb-2">${T.your_name} <span class="text-red-500">*</span></label>
<input type="text" name="contact_name" required placeholder="${T.your_full_name}"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-cyan/20 form-input">
</div>
<div>
<label class="block text-sm font-semibold text-navy mb-2">${T.your_phone} <span class="text-red-500">*</span></label>
<input type="tel" name="contact_phone" required placeholder="${T.your_phone_number}"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-cyan/20 form-input">
</div>
</div>
<div class="mb-5">
<label class="block text-sm font-semibold text-navy mb-2">${T.hospital} <span class="text-red-500">*</span></label>
<select name="hospital" required class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-cyan/20 bg-white form-input">
${opts}
</select>
</div>
<div class="mb-5">
<label class="block text-sm font-semibold text-navy mb-2">${T.location}</label>
<select id="id_location" name="location"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-cyan/20 bg-white form-input">
<option value="">${T.select_location}</option>
</select>
</div>
<div id="main_section_container" style="display: none;" class="mb-5">
<label class="block text-sm font-semibold text-navy mb-2">${T.main_section}</label>
<select id="id_main_section" name="main_section"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-cyan/20 bg-white form-input">
<option value="">${T.select_main_section}</option>
</select>
</div>
<div id="subsection_container" style="display: none;" class="mb-5">
<label class="block text-sm font-semibold text-navy mb-2">${T.subsection}</label>
<select id="id_subsection" name="subsection"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-cyan/20 bg-white form-input">
<option value="">${T.select_subsection}</option>
</select>
</div>
<div class="mb-6">
<label class="block text-sm font-semibold text-navy mb-2">${T.your_suggestion} <span class="text-red-500">*</span></label>
<textarea name="message" rows="5" required placeholder="${T.describe_your_suggestion_in_detail_what_would_you_}"
class="w-full px-4 py-3 border border-slate-200 rounded-xl text-navy focus:outline-none focus:ring-2 focus:ring-cyan/20 resize-none form-input"></textarea>
</div>
<div class="text-center pt-4 border-t border-slate-100">
<button type="submit" class="bg-gradient-to-r from-cyan-500 to-blue-600 text-white px-8 py-3.5 rounded-xl font-semibold hover:shadow-xl transition inline-flex items-center gap-2 btn-hover" id="suggSubmitBtn">
<i data-lucide="lightbulb" class="w-5 h-5"></i> ${T.submit_suggestion}
</button>
</div>
</form>
`;
document.getElementById('formContent').innerHTML = formHtml;
lucide.createIcons();
document.getElementById('suggestionForm').addEventListener('submit', handleSuggestionSubmit);
initLocationHierarchy();
showForm();
}
function handleSuggestionSubmit(e) {
e.preventDefault();
const btn = document.getElementById('suggSubmitBtn');
const original = btn.innerHTML;
btn.disabled = true;
btn.innerHTML = '<span class="inline-block w-5 h-5 border-2 border-white/30 border-t-white rounded-full animate-spin mr-2"></span>' + T.submitting;
const formData = new FormData(this);
const data = Object.fromEntries(formData.entries());
fetch('/suggestions/public/suggestion/', {
method: 'POST',
body: JSON.stringify(data),
headers: { 'X-CSRFToken': getCSRFToken(), 'Content-Type': 'application/json' }
})
.then(r => {
if (!r.ok) return r.text().then(t => { throw new Error('HTTP ' + r.status + ': ' + t); });
return r.text().then(t => { try { return JSON.parse(t); } catch(e) { throw new Error('Invalid JSON: ' + t.substring(0, 200)); } });
})
.then(data => {
if (data.success) {
var refBlock = document.getElementById('referenceNumber').closest('.bg-light');
if (refBlock) refBlock.style.display = 'none';
document.querySelector('#successModal h3').textContent = T.thank_you;
document.querySelector('#successModal p').textContent = T.thank_you_for_your_suggestion_we_appreciate_your_i;
document.getElementById('successModal').classList.remove('hidden');
this.reset();
} else {
Swal.fire({ icon: 'error', title: T.error, text: data.message || T.failed });
}
})
.catch(err => Swal.fire({ icon: 'error', title: T.error, text: err.message || T.failed }))
.finally(() => { btn.disabled = false; btn.innerHTML = original; });
}
function showForm() {
document.getElementById('loadingSpinner').classList.add('hidden');
document.getElementById('formContent').classList.remove('hidden');
}
function getCSRFToken() {
return document.cookie.split('; ').find(r => r.startsWith('csrftoken='))?.split('=')[1] ||
document.querySelector('[name="csrfmiddlewaretoken"]')?.value;
}
window.resetToSelection = function() {
document.getElementById('publicFormContainer').classList.add('hidden');
document.getElementById('formContent').innerHTML = '';
document.getElementById('selectionCards').style.display = 'grid';
document.getElementById('welcomeCard').style.display = '';
currentFormType = null;
};
window.closeSuccessModal = function() {
document.getElementById('successModal').classList.add('hidden');
var refBlock = document.getElementById('referenceNumber').closest('.bg-light');
if (refBlock) refBlock.style.display = '';
resetToSelection();
};
// Complaint form helper functions - defined at global scope
window.updateFileList = function() {
const input = document.getElementById('id_attachments');
const list = document.getElementById('fileList');
if (!input || !list) return;
list.innerHTML = '';
if (input.files.length > 0) {
const div = document.createElement('div');
div.className = 'space-y-2';
for (let f of input.files) {
const size = (f.size / 1024 / 1024).toFixed(2);
div.innerHTML += `
<div class="flex items-center gap-3 text-sm text-navy p-3 bg-slate-50 rounded-xl">
<i data-lucide="file" class="w-5 h-5 text-slate-500"></i>
<span class="flex-1 truncate font-medium">${f.name}</span>
<span class="text-slate text-xs">${size} MB</span>
</div>
`;
}
list.appendChild(div);
lucide.createIcons();
}
};
// Location hierarchy loading functions for complaint form
window.loadLocationsForForm = function() {
const locationSelect = document.getElementById('id_location');
if (!locationSelect) {
console.error('Location select not found');
return;
}
locationSelect.innerHTML = '<option value="">' + T.select_location + '</option>';
fetch('/organizations/dropdowns/locations/')
.then(r => r.json())
.then(data => {
data.forEach(loc => {
const opt = document.createElement('option');
opt.value = loc.id;
opt.textContent = loc.name;
locationSelect.appendChild(opt);
});
})
.catch(err => console.error('Failed to load locations:', err));
};
window.loadMainSectionsForForm = function(locationId) {
const mainSectionSelect = document.getElementById('id_main_section');
const mainSectionContainer = document.getElementById('main_section_container');
const subsectionSelect = document.getElementById('id_subsection');
const subsectionContainer = document.getElementById('subsection_container');
if (!mainSectionSelect) return;
mainSectionSelect.innerHTML = '<option value="">' + T.select_main_section + '</option>';
if (subsectionSelect) subsectionSelect.innerHTML = '<option value="">' + T.select_subsection + '</option>';
if (!locationId) {
if (mainSectionContainer) mainSectionContainer.style.display = 'none';
if (subsectionContainer) subsectionContainer.style.display = 'none';
return;
}
fetch('/organizations/ajax/main-sections/?location_id=' + locationId)
.then(r => r.json())
.then(data => {
const sections = data.sections || [];
sections.forEach(section => {
const opt = document.createElement('option');
opt.value = section.id;
opt.textContent = section.name;
mainSectionSelect.appendChild(opt);
});
if (mainSectionContainer) mainSectionContainer.style.display = sections.length ? 'block' : 'none';
if (subsectionContainer && sections.length === 0) subsectionContainer.style.display = 'none';
})
.catch(err => console.error('Failed to load main sections:', err));
};
window.loadSubsectionsForForm = function(locationId, mainSectionId) {
const subsectionSelect = document.getElementById('id_subsection');
const subsectionContainer = document.getElementById('subsection_container');
if (!subsectionSelect) return;
subsectionSelect.innerHTML = '<option value="">' + T.select_subsection + '</option>';
if (!locationId || !mainSectionId) {
if (subsectionContainer) subsectionContainer.style.display = 'none';
return;
}
fetch('/organizations/ajax/subsections/?location_id=' + locationId + '&main_section_id=' + mainSectionId)
.then(r => r.json())
.then(data => {
const subsections = data.subsections || [];
subsections.forEach(sub => {
const opt = document.createElement('option');
opt.value = sub.id;
opt.textContent = sub.name;
subsectionSelect.appendChild(opt);
});
if (subsectionContainer) subsectionContainer.style.display = subsections.length ? 'block' : 'none';
})
.catch(err => console.error('Failed to load subsections:', err));
};
window.initLocationHierarchy = function() {
window.loadLocationsForForm();
const locationSelect = document.getElementById('id_location');
if (locationSelect) {
locationSelect.addEventListener('change', function() {
window.loadMainSectionsForForm(this.value);
});
}
const mainSectionSelect = document.getElementById('id_main_section');
if (mainSectionSelect) {
mainSectionSelect.addEventListener('change', function() {
const locationId = document.getElementById('id_location').value;
window.loadSubsectionsForForm(locationId, this.value);
});
}
};
// Global variable to store all categories for taxonomy (legacy)
window.allComplaintCategories = [];
// Load taxonomy data
window.loadTaxonomy = function(hospitalId) {
fetch('{% url "complaints:api_load_categories" %}?hospital_id=' + (hospitalId || ''))
.then(r => r.json())
.then(data => {
window.allComplaintCategories = data.categories || [];
const domainSelect = document.getElementById('id_domain');
if (!domainSelect) return;
domainSelect.innerHTML = '<option value="">' + T.select_domain + '</option>';
window.allComplaintCategories.filter(c => c.level === 1).forEach(cat => {
const opt = document.createElement('option');
opt.value = cat.id;
opt.textContent = cat.get_localized_name;
domainSelect.appendChild(opt);
});
})
.catch(err => console.error('Load taxonomy error:', err));
};
// Load categories for selected domain
window.loadCategories = function(domainId) {
const catSelect = document.getElementById('id_category');
const catContainer = document.getElementById('category_container');
if (!catSelect) return;
catSelect.innerHTML = '<option value="">' + T.select_category + '</option>';
if (!domainId) {
if (catContainer) catContainer.style.display = 'none';
window.loadSubcategories('');
return;
}
const categories = window.allComplaintCategories.filter(c => c.level === 2 && c.parent_id == domainId);
categories.forEach(cat => {
const opt = document.createElement('option');
opt.value = cat.id;
opt.textContent = cat.get_localized_name;
catSelect.appendChild(opt);
});
if (catContainer) catContainer.style.display = categories.length ? 'block' : 'none';
};
// Load subcategories for selected category
window.loadSubcategories = function(categoryId) {
const subSelect = document.getElementById('id_subcategory');
const subContainer = document.getElementById('subcategory_container');
if (!subSelect) return;
subSelect.innerHTML = '<option value="">' + T.select_subcategory + '</option>';
if (!categoryId) {
if (subContainer) subContainer.style.display = 'none';
window.loadClassifications('');
return;
}
const subcategories = window.allComplaintCategories.filter(c => c.level === 3 && c.parent_id == categoryId);
subcategories.forEach(cat => {
const opt = document.createElement('option');
opt.value = cat.id;
opt.textContent = cat.get_localized_name;
subSelect.appendChild(opt);
});
if (subContainer) subContainer.style.display = subcategories.length ? 'block' : 'none';
};
// Load classifications for selected subcategory
window.loadClassifications = function(subcategoryId) {
const clsSelect = document.getElementById('id_classification');
const clsContainer = document.getElementById('classification_container');
if (!clsSelect) return;
clsSelect.innerHTML = '<option value="">' + T.select_classification + '</option>';
if (!subcategoryId) {
if (clsContainer) clsContainer.style.display = 'none';
return;
}
const classifications = window.allComplaintCategories.filter(c => c.level === 4 && c.parent_id == subcategoryId);
classifications.forEach(cat => {
const opt = document.createElement('option');
opt.value = cat.id;
opt.textContent = cat.get_localized_name;
clsSelect.appendChild(opt);
});
if (clsContainer) clsContainer.style.display = classifications.length ? 'block' : 'none';
};
// Initialize complaint form when loaded in landing page
window.initComplaintFormInLanding = function() {
// Add file upload click handler
const uploadArea = document.querySelector('.border-dashed');
if (uploadArea) {
uploadArea.addEventListener('click', function() {
document.getElementById('id_attachments').click();
});
}
// Add file list update handler
const fileInput = document.getElementById('id_attachments');
if (fileInput) {
fileInput.addEventListener('change', window.updateFileList);
}
// Load locations on form init
window.loadLocationsForForm();
// Location change -> load main sections
const locationSelect = document.getElementById('id_location');
if (locationSelect) {
locationSelect.addEventListener('change', function() {
window.loadMainSectionsForForm(this.value);
});
}
// Main section change -> load subsections
const mainSectionSelect = document.getElementById('id_main_section');
if (mainSectionSelect) {
mainSectionSelect.addEventListener('change', function() {
const locationId = document.getElementById('id_location').value;
window.loadSubsectionsForForm(locationId, this.value);
});
}
// Add form submission handler
const complaintForm = document.getElementById('public_complaint_form');
if (complaintForm) {
complaintForm.addEventListener('submit', function(e) {
e.preventDefault();
const submitBtn = complaintForm.querySelector('button[type="submit"]');
const originalHTML = submitBtn.innerHTML;
submitBtn.disabled = true;
submitBtn.innerHTML = '<span class="inline-block w-5 h-5 border-2 border-white/30 border-t-white rounded-full animate-spin mr-2"></span>' + T.submitting;
const formData = new FormData(complaintForm);
fetch('/complaints/public/submit/', {
method: 'POST',
body: formData,
headers: {
'X-Requested-With': 'XMLHttpRequest',
'X-CSRFToken': getCSRFToken()
}
})
.then(r => r.json())
.then(data => {
if (data.success) {
document.getElementById('referenceNumber').textContent = data.reference_number;
document.getElementById('successModal').classList.remove('hidden');
complaintForm.reset();
// Hide cascading dropdowns
const mainSectionContainer = document.getElementById('main_section_container');
const subsectionContainer = document.getElementById('subsection_container');
if (mainSectionContainer) mainSectionContainer.style.display = 'none';
if (subsectionContainer) subsectionContainer.style.display = 'none';
} else {
Swal.fire({
icon: 'error',
title: T.error,
text: data.errors ? data.errors.join('\n') : (data.message || T.failed_to_submit_please_try_again)
});
}
})
.catch(err => {
console.error('Submit error:', err);
Swal.fire({
icon: 'error',
title: T.error,
text: T.failed_to_submit_please_try_again
});
})
.finally(() => {
submitBtn.disabled = false;
submitBtn.innerHTML = originalHTML;
});
});
// Initialize icons
lucide.createIcons();
}
};
});
</script>
{% endblock %}