@extends('V2.layouts.onBoarding')

@section('content')
    <div class="content_wrapper">
        <div class="inner_title">
            <h3>Have you ever used any nicotine replacements (NRTs) like gums or patches? Or taken any other pills or
                medications to help cut down or quit smoking?<span>*</span></h3>
            <p>Select all that apply.</p>
            <span class="error_msg"></span>
        </div>
        <form id="frmBasic" name="frmBasic">
            <div class="wrap">
                <div class="form_field">
                    <input class="checkbox" type="checkbox" name="setPastQuitTechniques[]" id="nicotinegums"
                        value="Nicotine Gums/Patches (NRTs)" @checked(in_array('Nicotine Gums/Patches (NRTs)', $setPastQuitTechniques))>
                    <label class="checkbox_btn" for="nicotinegums">
                        Nicotine Gums/Patches (NRTs)
                    </label>
                </div>
                <div class="form_field">
                    <input class="checkbox" type="checkbox" name="setPastQuitTechniques[]" id="Varenicline"
                        value="Varenicline, wellbutrin, etc" @checked(in_array('Varenicline, wellbutrin, etc', $setPastQuitTechniques))>
                    <label class="checkbox_btn" for="Varenicline">
                        Varenicline, wellbutrin, etc
                    </label>
                </div>
                <div class="form_field">
                    <input class="checkbox" type="checkbox" name="setPastQuitTechniques[]" id="naturopathy"
                        value="Naturopathy/homeopathy/ayurveda" @checked(in_array('Naturopathy/homeopathy/ayurveda', $setPastQuitTechniques))>
                    <label class="checkbox_btn break_word_cstm" for="naturopathy">
                        Naturopathy/homeopathy/ayurveda
                    </label>
                </div>
                <div class="form_field">
                    <input class="checkbox" type="checkbox" name="setPastQuitTechniques[]" id="no" value="No"
                        @checked(in_array('No', $setPastQuitTechniques))>
                    <label class="checkbox_btn" for="no">
                        No
                    </label>
                </div>
            </div>
            <div class="form_field button_wrap">
                <button type="button" class="button" name="btnSubmit" id="btnSubmit">NEXT</button>
            </div>
        </form>
    </div>
@endsection