132 lines
7.2 KiB
HTML
132 lines
7.2 KiB
HTML
{% load i18n %}
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{% load static %}
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<!DOCTYPE html>
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<html lang="{{ LANGUAGE_CODE|default:'en' }}" dir="{% if LANGUAGE_CODE == 'ar' %}rtl{% else %}ltr{% endif %}">
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<head>
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<meta charset="UTF-8">
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<meta name="viewport" content="width=device-width, initial-scale=1.0">
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<title>{{ complaint.reference_number }} - {% trans "Feedback" %}</title>
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<link rel="stylesheet" href="{% static 'dist/css/tailwind.css' %}">
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<link rel="stylesheet" href="{% static 'vendor/fonts/noto-kufi-arabic/arabic.css' %}">
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<style>
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@import url('https://fonts.googleapis.com/css2?family=Inter:wght@300;400;500;600;700&display=swap');
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body { font-family: 'Inter', 'Noto Kufi Arabic', sans-serif; }
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[dir="rtl"] body, [dir="rtl"] input, [dir="rtl"] textarea, [dir="rtl"] select, [dir="rtl"] button {
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font-family: 'Noto Kufi Arabic', sans-serif;
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}
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</style>
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</head>
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<body class="bg-slate-50 min-h-screen py-8 px-4">
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<div class="w-full max-w-3xl mx-auto">
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<!-- Logo -->
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<div class="text-center mb-6">
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<img src="{% static 'img/hh-logo.png' %}" alt="Al Hammadi Hospital" class="h-16 w-auto mx-auto inline-block">
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</div>
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<!-- Complaint Card -->
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<div class="bg-white rounded-2xl shadow-sm border border-slate-200 p-6 mb-6">
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<!-- Header -->
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<p class="text-xs font-bold text-slate/60 uppercase tracking-wide mb-2">{% trans "Complaint" %}</p>
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<!-- Reference -->
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<div class="flex items-center gap-2 mb-3">
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<span class="text-xs font-bold text-slate/60 uppercase">{% trans "Reference" %}</span>
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<span class="text-sm font-bold text-navy">{{ complaint.reference_number }}</span>
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</div>
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<!-- Title -->
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<div class="flex items-start gap-2 mb-4">
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<span class="text-xs font-bold text-slate/60 uppercase pt-0.5 shrink-0">{% trans "Title" %}</span>
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<span class="text-sm font-semibold text-navy">{{ complaint.title }}</span>
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</div>
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<!-- Description -->
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<div class="border-t border-slate-100 pt-4">
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<p class="text-xs font-bold text-slate/60 uppercase mb-2">{% trans "Description" %}</p>
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<p class="text-base leading-relaxed text-slate">{{ complaint.description }}</p>
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</div>
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<!-- Incident date -->
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{% if complaint.incident_date %}
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<div class="flex items-center gap-2 mt-3 pt-3 border-t border-slate-100">
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<span class="text-xs font-bold text-slate/60 uppercase">{% trans "Incident Date" %}</span>
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<span class="text-sm text-slate">{{ complaint.incident_date|date:"d M Y" }}</span>
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</div>
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{% endif %}
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</div>
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<!-- Questions -->
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<div class="bg-white rounded-2xl shadow-sm border border-slate-200 p-6 mb-6">
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{% if error %}
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<div class="bg-red-50 border border-red-200 rounded-xl p-4 mb-4">
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<p class="text-sm text-red-700 font-medium">{{ error }}</p>
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</div>
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{% endif %}
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<p class="text-sm font-semibold text-navy mb-4">{% trans "Please answer the following questions" %}</p>
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<form method="post" enctype="multipart/form-data" class="space-y-4">
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{% csrf_token %}
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{% for pair in question_answer_pairs %}
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<div class="p-4 bg-slate-50 rounded-xl border border-slate-100">
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<div class="flex items-start gap-3 mb-3">
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<span class="flex-shrink-0 w-7 h-7 flex items-center justify-center rounded-full bg-navy text-white text-xs font-bold">{{ forloop.counter }}</span>
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<p class="text-sm font-semibold text-slate pt-0.5">{{ pair.question.question_text }}</p>
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</div>
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<div class="pl-10">
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{% if pair.question.question_type == 'yes_no' %}
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<div class="flex items-center gap-4">
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<label class="flex items-center gap-2 cursor-pointer">
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<input type="radio" name="question_{{ pair.question.id }}" value="yes" required
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class="w-5 h-5 accent-green-600"
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{% if pair.existing_answer == 'yes' %}checked{% endif %}>
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<span class="text-sm font-semibold text-green-700">{% trans "Yes" %}</span>
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</label>
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<label class="flex items-center gap-2 cursor-pointer">
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<input type="radio" name="question_{{ pair.question.id }}" value="no"
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class="w-5 h-5 accent-red-600"
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{% if pair.existing_answer == 'no' %}checked{% endif %}>
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<span class="text-sm font-semibold text-red-700">{% trans "No" %}</span>
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</label>
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</div>
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{% else %}
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<textarea name="question_{{ pair.question.id }}" rows="4"
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class="w-full px-4 py-3 border-2 border-slate-200 rounded-xl text-sm text-slate focus:outline-none focus:border-navy resize-none"
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placeholder="{% trans 'Type your answer here...' %}"
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required>{{ pair.existing_answer }}</textarea>
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{% endif %}
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</div>
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</div>
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{% endfor %}
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<!-- Attachments -->
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<div>
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<label class="block text-sm font-semibold text-navy mb-2">{% trans "Attachments (Optional)" %}</label>
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<input type="file" name="attachments" multiple
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class="block w-full text-sm text-slate file:mr-4 file:py-2 file:px-4 file:rounded-xl file:border-0 file:text-sm file:font-semibold file:bg-slate-100 file:text-navy hover:file:bg-slate-200 file:transition cursor-pointer border-2 border-slate-200 rounded-xl">
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</div>
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<p class="text-xs text-slate/60">{% trans "This link can only be used once." %}</p>
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<!-- Consent -->
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<div class="bg-amber-50 border border-amber-200 rounded-xl p-4">
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<label class="flex items-start gap-3 cursor-pointer">
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<input type="checkbox" name="consent" class="mt-0.5 w-5 h-5 accent-navy shrink-0" required>
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<span class="text-sm text-slate-700 leading-relaxed">
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{% trans "I confirm that the information I have provided above is true and accurate to the best of my knowledge. I understand that these responses will be reviewed as part of an official complaint investigation, and I accept responsibility for the accuracy of my statements." %}
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</span>
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</label>
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</div>
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<button type="submit" class="w-full flex items-center justify-center gap-2 px-4 py-3 bg-navy text-white rounded-xl font-bold text-sm hover:bg-blue transition">
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{% trans "Submit Responses" %}
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</button>
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</form>
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</div>
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</div>
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</body>
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</html>
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