@extends('V2.layouts.onBoarding')

@section('content')
<div class="content_wrapper">
    <div class="inner_title">
        <h3>Quais desses problemas de saúde relacionados ao tabagismo você está enfrentando atualmente?<span>*</span></h3>
        <p>Selecione todas as opções que se aplicam:</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="setHealthIssues[]" id="tiredness" value="Tiredness"
                    @checked(in_array('Tiredness', $setHealthIssues))>
                <label class="checkbox_btn" for="tiredness">
                    Cansaço
                </label>
            </div>

            <div class="form_field">
                <input class="checkbox" type="checkbox" name="setHealthIssues[]" id="shortnessofbreath"
                    value="Shortness of breath" @checked(in_array('Shortness of breath', $setHealthIssues))>
                <label class="checkbox_btn" for="shortnessofbreath">
                    Falta de ar
                </label>
            </div>

            <div class="form_field">
                <input class="checkbox" type="checkbox" name="setHealthIssues[]" id="frequentcough"
                    value="Frequent cough/cold/flu" @checked(in_array('Frequent cough/cold/flu', $setHealthIssues))>
                <label class="checkbox_btn" for="frequentcough">
                    Tosse frequente / resfriado / gripe
                </label>
            </div>

            <div class="form_field">
                <input class="checkbox" type="checkbox" name="setHealthIssues[]" id="dentalissues" value="Dental issues"
                    @checked(in_array('Dental issues', $setHealthIssues))>
                <label class="checkbox_btn" for="dentalissues">
                    Problemas dentários
                </label>
            </div>

            <div class="form_field">
                <input class="checkbox" type="checkbox" name="setHealthIssues[]" id="moodissues" value="Mood issues"
                    @checked(in_array('Mood issues', $setHealthIssues))>
                <label class="checkbox_btn" for="moodissues">
                    Problemas de humor
                </label>
            </div>

            <div class="form_field">
                <input class="checkbox" type="checkbox" name="setHealthIssues[]" id="bloodpressure"
                    value="High blood pressure" @checked(in_array('High blood pressure', $setHealthIssues))>
                <label class="checkbox_btn" for="bloodpressure">
                    Pressão alta
                </label>
            </div>

            <div class="form_field">
                <input class="checkbox" type="checkbox" name="setHealthIssues[]" id="asthma" value="Asthma/COPD"
                    @checked(in_array('Asthma/COPD', $setHealthIssues))>
                <label class="checkbox_btn" for="asthma">
                    Asma/DPOC
                </label>
            </div>

            <div class="form_field">
                <input class="checkbox" type="checkbox" name="setHealthIssues[]" id="sexualhealth"
                    value="Sexual health/impotence/fertility" @checked(in_array('Sexual health/impotence/fertility', $setHealthIssues))>
                <label class="checkbox_btn" for="sexualhealth">
                    Saúde sexual / impotência / fertilidade
                </label>
            </div>

            <div class="form_field">
                <input class="checkbox" type="checkbox" name="setHealthIssues[]" id="heartdisease" value="Heart disease"
                    @checked(in_array('Heart disease', $setHealthIssues))>
                <label class="checkbox_btn" for="heartdisease">
                    Doença cardíaca
                </label>
            </div>

            <div class="form_field">
                <input class="checkbox" type="checkbox" name="setHealthIssues[]" id="cancer" value="Cancer"
                    @checked(in_array('Cancer', $setHealthIssues))>
                <label class="checkbox_btn" for="cancer">
                    Câncer
                </label>
            </div>

            <div class="form_field">
                <input class="checkbox" type="checkbox" name="setHealthIssues[]" id="other" value="Other"
                    @checked(in_array('Other', $setHealthIssues))>
                <label class="checkbox_btn" for="other">
                    Outros
                </label>
            </div>

            <div class="form_field">
                <input class="checkbox" type="checkbox" name="setHealthIssues[]" id="nohealthissue"
                    value="No health issues" @checked(in_array('No health issues', $setHealthIssues))>
                <label class="checkbox_btn" for="nohealthissue">
                    Nenhum problema de saúde
                </label>
            </div>
        </div>
        <div class="form_field button_wrap">
            <button type="button" class="button" name="btnSubmit" id="btnSubmit">ENVIAR</button>
        </div>
    </form>
</div>
@endsection