@extends('V2.layouts.onBoarding')

@section('content')
    <div class="content_wrapper">
        <div class="inner_title">
            <h3>Wenn du daran denkst, nicht mehr rauchen zu können, was fühlst du?<span>*</span></h3>
            <p>Wähle alle zutreffenden Optionen aus.</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="setQuittingConcerns[]" id="chk1"
                        value="Scared of the withdrawal symptoms/cravings" @checked(in_array('Scared of the withdrawal symptoms/cravings', $setQuittingConcerns))>
                    <label class="checkbox_btn" for="chk1">
                        Angst vor Entzugserscheinungen / Cravings
                    </label>
                </div>
                <div class="form_field">
                    <input class="checkbox" type="checkbox" name="setQuittingConcerns[]" id="chk2"
                        value="Worried about gaining weight" @checked(in_array('Worried about gaining weight', $setQuittingConcerns))>
                    <label class="checkbox_btn" for="chk2">
                        Sorge, an Gewicht zuzunehmen
                    </label>
                </div>
                <div class="form_field">
                    <input class="checkbox" type="checkbox" name="setQuittingConcerns[]" id="chk3"
                        value="Worried about changing my daily routine" @checked(in_array('Worried about changing my daily routine', $setQuittingConcerns))>
                    <label class="checkbox_btn" for="chk3">
                        Angst davor, meine tägliche Routine zu verändern
                    </label>
                </div>
                <div class="form_field">
                    <input class="checkbox" type="checkbox" name="setQuittingConcerns[]" id="chk4"
                        value="Afraid of losing friends" @checked(in_array('Afraid of losing friends', $setQuittingConcerns))>
                    <label class="checkbox_btn" for="chk4">
                        Angst, Freunde zu verlieren
                    </label>
                </div>
                <div class="form_field">
                    <input class="checkbox" type="checkbox" name="setQuittingConcerns[]" id="chk5"
                        value="Concerned about my mental health worsening" @checked(in_array('Concerned about my mental health worsening', $setQuittingConcerns))>
                    <label class="checkbox_btn" for="chk5">
                        Bedenken, dass sich meine mentale Gesundheit verschlechtern könnte
                    </label>
                </div>
                <div class="form_field">
                    <input class="checkbox" type="checkbox" name="setQuittingConcerns[]" id="chk6"
                        value="Excited about regaining control" @checked(in_array('Excited about regaining control', $setQuittingConcerns))>
                    <label class="checkbox_btn" for="chk6">
                        Freude darüber, die Kontrolle zurückzugewinnen
                    </label>
                </div>
            </div>
            <div class="form_field button_wrap">
                <button type="button" class="button" name="btnSubmit" id="btnSubmit">WEITER</button>
            </div>
        </form>
    </div>
@endsection