<link href="<?php echo base_url('assets/css/chosen.css')?>" rel="stylesheet" type="text/css" />
<!-- Content Header (Page header) -->
<style>
.row{
	margin-bottom:10px;
}
</style>
 <!-- Content Header (Page header) -->
<section class="content-header">
    <h1>
        <?php echo lang('contact');?>
        <small><?php echo lang('add');?></small>
    </h1>
    <ol class="breadcrumb">
        <li><a href="<?php echo site_url('admin')?>"><i class="fa fa-dashboard"></i> <?php echo lang('dashboard');?></a></li>
        <li><a href="<?php echo site_url('admin/contacts')?>"><?php echo lang('contacts');?></a></li>
        <li class="active"><?php echo lang('add');?></li>
    </ol>
</section>

<section class="content">
    <div class="row">
		<?php 
	if(validation_errors()){
?>
<div class="alert alert-danger alert-dismissable">
                                        <i class="fa fa-ban"></i>
                                        <button type="button" class="close" data-dismiss="alert" aria-hidden="true"><i class="fa fa-close"></i></button>
                                        <b><?php echo lang('alert');?>!</b><?php echo validation_errors(); ?>
                                    </div>

<?php  } ?>
        <!-- left column -->
        <div class="col-md-12">
            <!-- general form elements -->
            <div class="box box-primary">
                <div class="box-header">
                    <h3 class="box-title"><?php echo lang('add');?></h3>
                </div><!-- /.box-header -->
                <!-- form start -->
				
				<?php echo form_open_multipart('admin/contacts/add/'); ?>
                    <div class="box-body">
                        <div class="form-group">
                        	<div class="row">
                                <div class="col-md-4">
                                    <label for="name" style="clear:both;"><?php echo lang('name');?></label>
									<input type="text" name="name" value="<?php echo set_value('name'); ?>" class="form-control">
                                </div>
                            </div>
                        </div>
						
						 <div class="form-group">
                        	<div class="row">
                                <div class="col-md-4">
                                    <label for="name" style="clear:both;"><?php echo lang('phone');?></label>
									<input type="text" name="phone" value="<?php echo set_value('phone'); ?>" class="form-control">
                                </div>
                            </div>
                        </div>
						
						 <div class="form-group">
                        	<div class="row">
                                <div class="col-md-4">
                                    <label for="name" style="clear:both;"><?php echo lang('email');?></label>
									<input type="text" name="email" value="<?php echo set_value('email'); ?>"class="form-control">
                                </div>
                            </div>
                        </div>
						
						 <div class="form-group">
                        	<div class="row">
                                <div class="col-md-4">
                                    <label for="name" style="clear:both;"><?php echo lang('address');?></label>
									<textarea name="address" class="form-control"><?php echo set_value('address'); ?></textarea>
                                </div>
                            </div>
                        </div>
							<?php 
						if($fields){
							foreach($fields as $doc){
							$output = '';
							if($doc->field_type==1) //testbox
							{
						?>
						<div class="form-group">
                              <div class="row">
                                <div class="col-md-4">
                                    <label for="contact" style="clear:both;"><?php echo $doc->name; ?></label>
							<input type="text" class="form-control" name="reply[<?php echo $doc->id ?>]" id="req_doc" />
								</div>
                            </div>
                        </div>
					 <?php 	}	
							if($doc->field_type==2) //dropdown list
							{
								$values = explode(",", $doc->values);
					?>	<div class="form-group">
                              <div class="row">
                                <div class="col-md-4">
                                    <label for="contact" style="clear:both;"><?php echo $doc->name; ?></label>
							<select name="reply[<?php echo $doc->id ?>]" class="form-control">
							<?php	
										foreach($values as $key=>$val) {
											echo '<option value="'.$val.'">'.$val.'</option>';
										}
							?>			
							</select>	
								</div>
                            </div>
                        </div>
						<?php	}	
								if($doc->field_type==3) //radio buttons
							{
								$values = explode(",", $doc->values);
					?>	<div class="form-group">
                              <div class="row">
                                <div class="col-md-4">
                                    <label for="contact" style="clear:both;"><?php echo $doc->name; ?></label>
							
							<?php	
										foreach($values as $key=>$val) { ?>
										
										<input type="radio" name="reply[<?php echo $doc->id ?>]" value="<?php echo $val;?>" />	<?php echo $val;?> &nbsp; &nbsp; &nbsp; &nbsp;
 							<?php 			}
							?>			
								</div>
                            </div>
                        </div>
						
						<?php }
						if($doc->field_type==4) //checkbox
							{
								$values = explode(",", $doc->values);
					?>	<div class="form-group">
                              <div class="row">
                                <div class="col-md-4">
                                    <label for="contact" style="clear:both;"><?php echo $doc->name; ?></label>
							
							<?php	
										foreach($values as $key=>$val) { ?>
										
										<input type="checkbox" name="reply[<?php echo $doc->id ?>]" value="<?php echo $val;?>" class="form-control" />	&nbsp; &nbsp; &nbsp; &nbsp;
 							<?php 			}
							?>			
								</div>
                            </div>
                        </div>
					<?php }	if($doc->field_type==5) //Textarea
						  {		?>	<div class="form-group">
                              <div class="row">
                                <div class="col-md-4">
                                    <label for="contact" style="clear:both;"><?php echo $doc->name; ?></label>
										<textarea class="form-control" name="reply[<?php echo $doc->id ?>]" ></textarea		
								></div>
                            </div>
                        </div>
					
					
						
					<?php 
								}	if($doc->field_type==6) //url
						  		{?>
						<div class="form-group">
                              <div class="row">
                                <div class="col-md-4">
                                    <label for="contact" style="clear:both;"><?php echo $doc->name; ?></label>
										<input type="url"  value=""name="reply[<?php echo $doc->id ?>]" class="form-control" >
								</div>
                            </div>
                        </div>
							
					<?php 
								}	if($doc->field_type==7) //Email
						  		{?>
						<div class="form-group">
                              <div class="row">
                                <div class="col-md-4">
                                    <label for="contact" style="clear:both;"><?php echo $doc->name; ?></label>
										<input type="email"  value=""name="reply[<?php echo $doc->id ?>]" class="form-control" >
								</div>
                            </div>
                        </div>
									
					<?php 
								}	if($doc->field_type==8) //Phone
						  		{?>
						<div class="form-group">
                              <div class="row">
                                <div class="col-md-4">
                                    <label for="contact" style="clear:both;"><?php echo $doc->name; ?></label>
										<input type="number"  value=""name="reply[<?php echo $doc->id ?>]" class="form-control" >
								</div>
                            </div>
                        </div>
													
								
						
						
					<?php 
								}	
							}
						}
					?>	
						
			   		 </div><!-- /.box-body -->
    
                    <div class="box-footer">
                        <button type="submit" class="btn btn-primary"><?php echo lang('save');?></button>
                    </div>
             <?php form_close()?>
            </div><!-- /.box -->
        </div>
     </div>
</section>  
<script src="<?php echo base_url('assets/js/chosen.jquery.min.js')?>" type="text/javascript"></script>
<script src="<?php echo base_url('assets/js/bootstrap-datepicker.js')?>" type="text/javascript"></script>


<script src="<?php echo base_url('assets/js/plugins/bootstrap-wysihtml5/bootstrap3-wysihtml5.all.min.js')?>" type="text/javascript"></script>
<script type="text/javascript">
$(function() {
	
	$('.chzn').chosen();
	
});


$(function() {
	//bootstrap WYSIHTML5 - text editor
	$(".txtarea").wysihtml5();
});

 $(function() {
    $( "#datepicker" ).pickmeup({
    format  : 'Y-m-d'
});
  });
</script>