@extends('admin.layouts.master')
@section('content')
@php
    $states = ["Alaska", "Alabama", "Arkansas", "American Samoa", "Arizona", "California", "Colorado", "Connecticut", "District of Columbia", "Delaware", "Florida", "Georgia", "Guam", "Hawaii", "Iowa", "Idaho", "Illinois", "Indiana", "Kansas", "Kentucky", "Louisiana", "Massachusetts", "Maryland", "Maine", "Michigan", "Minnesota", "Missouri", "Mississippi", "Montana", "North Carolina", "North Dakota", "Nebraska", "New Hampshire", "New Jersey", "New Mexico", "Nevada", "New York", "Ohio", "Oklahoma", "Oregon", "Pennsylvania", "Puerto Rico", "Rhode Island", "South Carolina", "South Dakota", "Tennessee", "Texas", "Utah", "Virginia", "Virgin Islands", "Vermont", "Washington", "Wisconsin", "West Virginia", "Wyoming"];
    $gender=["Cis Man","Cis Woman","Non-Binary","Questioning","Trans Woman","Trans Man","Gender Fluid","Other"];
    $highestLevel=["Doctoral","Professional (JD, MD, PharmaD, etc.)","Master's (MA, MS, MBA)","Bachelor's (BA, BS)","Associate's (AA, AS, AAS, AOS)","High School Diploma / GED"];
    $annualIncome=["<80K","80K - 100K","150K - 200K","200K - 250K","300K - 350K","350K- 400K","400K - 450K+","500K+","1M+"];
    $drinking_habit=["Never","Rarely","Sober","Socially","Frequently"];
    $cigratte_smoking_habit=["Never","Rarely","Socially","Often"];
    $relation_status=["Divorced","Divorce In Progress","Separated","Widowed","Open Relationship","Other"];
    $prefered_relation=["Monogamy","Open","Flexible"];
    $more_children=["Yes","No","Not Sure"];
    use Carbon\Carbon;
@endphp
<div class="section-body">
    <div class="row">
        <div class="col-12 col-md-12 col-lg-12">
            <div class="card">

                    <div class="card-body">
                        {{-- <div class="row mb-4">
                            <div class="col-md-12 text-center mb-4">

                                <img src="{{asset('user/assets/img/clientlogo.PNG')}}" class="text-center" alt="logo">
                            </div>
                            <div class="col-md-12  text-center ">
                                <h2 class="bold-black">Dater Application</h2>
                                <p>Thank you for your interest in joining the Rivet database! This is the first step toward better dating. We are excited to get to know you.</p>
                            </div>
                            
                        </div> --}}
                        <div class="form-group row">
                            <div class="col-md-6">
                                <label for="school" class="text-dark">Upload Selfie or Headshot</label>
                                @if (!empty($customerInfo->selfieHeadshot))
                                    @foreach ($customerInfo->selfieHeadshot as $key => $developmentimage_val)
                                        <img id="frame"
                                            src="{{ asset('storage/selfie_image/' . $developmentimage_val->selfie_image) }}"
                                            width="300px" height="380px" />
                                    @endforeach
                                @endif
                            </div>
                            <div class="col-md-6">
                                <label for="school" class="text-dark">Upload Full Body Image*</label>
                                 @if (!empty($customerInfo->fullBodyImage))
                                    @foreach ($customerInfo->fullBodyImage as $key => $developmentimage_val)
                                        <img id="frame"
                                            src="{{ asset('storage/full_body_image/' . $developmentimage_val->full_body_image) }}"
                                            width="300px" height="380px" />
                                    @endforeach
                                @endif
                            </div>
                        </div>
                        <div class="form-group row">

                            <div class="col-md-12">
                                <label for="school" class="text-dark">Notes</label>
                                {{-- <span aria-hidden="true" style="color:red">*</span> --}}

                                <textarea name="note" class="form-control texta" readonly>@if(Session::get('errors')){{old('note')}}@else{{$customerInfo->note}}@endif</textarea>
                                {{-- <span class="text-danger">{{ $errors->first('note') }}</span> --}}
                            </div>
                        </div>
                        <div class="form-group row">

                            <div class="col-md-6">
                                <label for="first_name" class="text-dark">First Name:</label>
                                <input type="text" id="first_name" name="first_name" @if(Session::get('errors')) value="{{old('first_name')}}" @else value="{{$customerInfo->first_name}}" @endif placeholder="First Name" class="form-control" readonly>
                                <span class="text-danger">{{ $errors->first('first_name') }}</span>
                            </div>
                            <div class="col-md-6">
                                <label for="last_name" class="text-dark">Last Name:</label>
                                <input type="text" id="last_name" name="last_name" @if(Session::get('errors')) value="{{old('last_name')}}" @else value="{{$customerInfo->last_name}}" @endif placeholder="Last Name" class="form-control" readonly>
                                <span class="text-danger">{{ $errors->first('last_name') }}</span>
                            </div>
                        </div>

                        {{-- <div class="form-group row">
                            <div class="col-md-12">
                                <label for="address_line_1" class="text-dark">Address Line 1:</label>
                                <input type="text" id="address_line_1" name="address" @if(Session::get('errors')) value="{{old('address')}}" @elseif(!empty($customerInfo->address)) value="{{$customerInfo->address->address}}"@endif  class="form-control" placeholder="Address Line 1" readonly>
                                <span class="text-danger">{{ $errors->first('address') }}</span>
                            </div>
                            <div class="col-md-12 mt-2">
                                <label for="address_line_2" class="text-dark">Address Line 2:</label>
                                <input type="text" class="form-control" name="address2" @if(Session::get('errors')) value="{{old('address2')}}" @elseif(!empty($customerInfo->address)) value="{{$customerInfo->address->address2}}"@endif id="address_line_2" placeholder="Address Line 2" readonly>
                                <span class="text-danger">{{ $errors->first('address2') }}</span>
                            </div>
                        </div> --}}

                        <div class="form-group row">
                            <div class="col-md-4">
                                <label for="city" class="text-dark">city:</label>
                                <input type="text" class="form-control" name="city"  @if(Session::get('errors')) value="{{old('city')}}" @elseif(!empty($customerInfo->address)) value="{{$customerInfo->address->city}}"@endif  id="city" placeholder="city" readonly>
                                <span class="text-danger">{{ $errors->first('city') }}</span>
                            </div>
                            <div class="col-md-4">
                                <label for="State" class="text-dark">State:</label>

                                <input type="text" class="form-control" name="city"  @if(Session::get('errors')) value="{{old('city')}}" @elseif(!empty($customerInfo->address)) value="{{$customerInfo->address->state}}"@endif  id="city" placeholder="city" readonly>
                                <span class="text-danger">{{ $errors->first('state') }}</span>
                            </div>
                            <div class="col-md-4">
                                <label for="zipcode" class="text-dark">Zip Code:</label>
                                <input type="text" class="form-control" id="zipcode" name="zipcode" @if(Session::get('errors')) value="{{old('zipcode')}}" @elseif(!empty($customerInfo->address)) value="{{$customerInfo->address->zipcode}}"@endif  placeholder="Zip Code" readonly>
                                <span class="text-danger">{{ $errors->first('zipcode') }}</span>
                            </div>
                        </div>

                        <div class="form-group row">

                            <div class="col-md-6">
                                <label for="phone" class="text-dark">Phone:</label>
                                <input type="text" id="phone" name="phone_number" @if(Session::get('errors')) value="{{old('phone_number')}}" @else value="{{$customerInfo->phone_number}}"  @endif placeholder="Phone"  class="form-control" readonly>
                                <span class="text-danger">{{ $errors->first('phone_number') }}</span>
                            </div>
                            <div class="col-md-6">
                                <label for="email" class="text-dark">Email:</label>
                                <input type="email" id="email" name="email" @if(Session::get('errors')) value="{{old('email')}}" @else value="{{$customerInfo->email}}"  @endif placeholder="Email" class="form-control" readonly>
                                <span class="text-danger">{{ $errors->first('email') }}</span>
                            </div>
                        </div>

                        <div class="form-group row">

                            <div class="col-md-6">
                                <label for="birthday" class="text-dark">Birthday:</label>
                                <input type="date" name="birthday" @if(Session::get('errors')) value="{{old('birthday')}}" @else value="{{$customerInfo->birthday}}"  @endif class="form-control" readonly>
                                <span class="text-danger">{{ $errors->first('birthday') }}</span>
                            </div>
                            <div class="col-md-6">
                                <label for="age" class="text-dark">Age:</label>
                                <input type="text" id="age" name="current_age" @if(Session::get('errors')) value="{{old('current_age')}}" @else value="{{Carbon::parse($customerInfo->birthday)->age}}"  @endif placeholder="Age" class="form-control" readonly>
                                <span class="text-danger">{{ $errors->first('current_age') }}</span>
                            </div>
                        </div>

                        <div class="form-group row">
                            <div class="col-md-6">
                                <label for="title" class="text-dark">Title (Work/Employment):</label>
                                <input type="text" name="title" @if(Session::get('errors')) value="{{old('title')}}" @else value="{{$customerInfo->title}}"  @endif placeholder="Title" class="form-control" readonly>
                                <span class="text-danger">{{ $errors->first('title') }}</span>
                            </div>
                            <div class="col-md-6">
                                <label for="company" class="text-dark">Company (Work/Employment):</label>
                                <input type="text" id="company" name="company" @if(Session::get('errors')) value="{{old('company')}}" @else value="{{$customerInfo->company}}"  @endif placeholder="Company" class="form-control" readonly>
                                <span class="text-danger">{{ $errors->first('company') }}</span>
                            </div>
                        </div>

                        <div class="form-group row">
                            <div class="col-md-12">
                                <label for="Gender" class="text-dark">Gender:</label>
                                <input type="text" id="age" name="current_age" @if(Session::get('errors')) value="{{old('gender')}}" @else value="{{$customerInfo->gender}}"  @endif placeholder="Age" class="form-control" readonly>
                            </div>
                        </div>

                        <div class="form-group row">
                            <div class="col-md-6">
                                <label for="Gender" class="text-dark">How did you hear about Rivet?</label>
                                <input type="text" id="age" name="current_age" @if(Session::get('errors')) value="{{old('gender')}}" @else value="{{$customerInfo->hear_about_rivet}}"  @endif placeholder="Age" class="form-control" readonly>
                            </div>
                            <div class="col-md-6" @if($customerInfo->hear_about_rivet!="Referral" OR $customerInfo->hear_about_rivet!="Rivet Employee") style="display:none" @else style="display:block"  @endif id="who_referred">
                                <label for="who_referred_you" class="bold-black">Who referred you?</label>
                                <span aria-hidden="true" style="color:red"></span>
                                <input type="text" id="who_referred_you" name="who_referred_you"  value="{{$customerInfo->who_referred_you}}"  placeholder="Who referred you?" readonly class="form-control">
                                <span class="text-danger">{{ $errors->first('who_referred_you') }}</span>
                            </div>
                        </div>

                        <div class="form-group row">

                            <div class="col-md-6">
                                <label for="Ethnicity" class="text-dark">Racial Identity:</label>
                                <div class="form-check ">
                                    <input class="form-check-input" type="checkbox" name="racial_identity[]" value="American Indian or Alaska Native" id="racial_identity" disabled 
                                    @if(!empty($customerInfo->racialIdentity)) 
                                        @foreach($customerInfo->racialIdentity as $key => $value)
                                            @if($value->racial_identity=="American Indian or Alaska Native")
                                              checked
                                            @endif
                                        @endforeach 
                                    @endif
                                    >
                                    <label class="form-check-label" for="racial_identity">American Indian or Alaska Native</label>
                                </div>
                                <div class="form-check ">
                                    <input class="form-check-input" type="checkbox" name="racial_identity[]" value="Asian" id="racial_identity2" disabled
                                    @if(!empty($customerInfo->racialIdentity)) 
                                        @foreach($customerInfo->racialIdentity as $key => $value)
                                            @if($value->racial_identity=="Asian")
                                              checked
                                            @endif
                                        @endforeach 
                                    @endif
                                    >
                                    <label class="form-check-label" for="racial_identity2">Asian</label>
                                </div>
                                <div class="form-check ">
                                    <input class="form-check-input" type="checkbox" name="racial_identity[]" value="Black or African Descent" id="racial_identity3" disabled
                                    @if(!empty($customerInfo->racialIdentity)) 
                                        @foreach($customerInfo->racialIdentity as $key => $value)
                                            @if($value->racial_identity=="Black or African Descent")
                                              checked
                                            @endif
                                        @endforeach 
                                    @endif
                                    >
                                    <label class="form-check-label" for="racial_identity3">Black or African Descent</label>
                                </div>
                                <div class="form-check ">
                                    <input class="form-check-input" type="checkbox" name="racial_identity[]" value="Hispanic or Latino" id="racial_identity4" disabled
                                    @if(!empty($customerInfo->racialIdentity)) 
                                        @foreach($customerInfo->racialIdentity as $key => $value)
                                            @if($value->racial_identity=="Hispanic or Latino")
                                              checked
                                            @endif
                                        @endforeach 
                                    @endif
                                    >
                                    <label class="form-check-label" for="racial_identity4">Hispanic or Latino</label>
                                </div>
                                <div class="form-check ">
                                    <input class="form-check-input" type="checkbox" name="racial_identity[]" value="Native Hawaiian or Other Pacific Islander" id="racial_identity5" disabled
                                    @if(!empty($customerInfo->racialIdentity)) 
                                        @foreach($customerInfo->racialIdentity as $key => $value)
                                            @if($value->racial_identity=="Native Hawaiian or Other Pacific Islander")
                                              checked
                                            @endif
                                        @endforeach 
                                    @endif
                                    >
                                    <label class="form-check-label" for="racial_identity5">Native Hawaiian or Other Pacific Islander</label>
                                </div>
                                <div class="form-check ">
                                    <input class="form-check-input" type="checkbox" name="racial_identity[]" value="White" id="racial_identity6" disabled
                                    @if(!empty($customerInfo->racialIdentity)) 
                                        @foreach($customerInfo->racialIdentity as $key => $value)
                                            @if($value->racial_identity=="White")
                                              checked
                                            @endif
                                        @endforeach 
                                    @endif
                                    >
                                    <label class="form-check-label" for="racial_identity6">White</label>
                                </div>
                                <span class="text-danger">{{ $errors->first('racial_identity') }}</span>
                            </div>

                            <div class="col-md-6">
                                <label for="Ethnicity" class="text-dark">Ethnicity:</label>
                                <input type="text" id="Ethnicity" name="ethnicity"  @if(Session::get('errors')) value="{{old('ethnicity')}}" @else value="{{$customerInfo->ethnicity}}" @endif placeholder="Type your ethnicty/ethnicities here" class="form-control" readonly>
                                <span class="text-danger">{{ $errors->first('ethnicity') }}</span>
                            </div>
                        </div>

                        <div class="form-group row">

                            <div class="col-md-6">
                                <label for="higheducation" class="text-dark">Highest Level of Education:</label>
                                <input type="text" id="Ethnicity" name="highest_level_eduation"  @if(Session::get('errors')) value="{{old('highest_level_eduation')}}" @else value="{{$customerInfo->highest_level_eduation}}" @endif placeholder="Type your ethnicty/ethnicities here" class="form-control" readonly>
                            </div>
                            <div class="col-md-6">
                                <label for="school" class="text-dark">School(s) Attended:</label>
                                <input type="text" id="school" name="school_attend" @if(Session::get('errors')) value="{{old('school_attend')}}" @else value="{{$customerInfo->school_attend}}" @endif placeholder="List any schools you have graduated from in this section" class="form-control" readonly>
                                <span class="text-danger">{{ $errors->first('school_attend') }}</span>
                            </div>
                        </div>

                        <div class="form-group row">

                            <div class="col-md-6">
                                <label for="higheducation" class="text-dark">Annual Income Range:</label>
                                <input type="text" id="school" name="annual_income" @if(Session::get('errors')) value="{{old('annual_income')}}" @else value="{{$customerInfo->annual_income}}" @endif placeholder="List any schools you have graduated from in this section" class="form-control" readonly>
                            </div>
                            <div class="col-md-6">
                                <label for="higheducation" class="text-dark">Employment Status:</label>
                                <div class="row">
                                    <div class="col-md-6">
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="employment_status[]" value="Employee / Contractor" id="employment_status" disabled
                                            @if(!empty($customerInfo->employmentStatus)) 
                                                @foreach($customerInfo->employmentStatus as $key => $value)
                                                    @if($value->employment_status=="Employee / Contractor")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="employment_status">Employee / Contractor</label>
                                        </div>
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="employment_status[]" value="Not Currently Working" id="employment_status1" disabled
                                            @if(!empty($customerInfo->employmentStatus)) 
                                                @foreach($customerInfo->employmentStatus as $key => $value)
                                                    @if($value->employment_status=="Not Currently Working")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="employment_status1">Not Currently Working</label>
                                        </div>
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="employment_status[]" value="VP / Group Manager" id="employment_status2" disabled
                                            @if(!empty($customerInfo->employmentStatus)) 
                                                @foreach($customerInfo->employmentStatus as $key => $value)
                                                    @if($value->employment_status=="VP / Group Manager")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="employment_status2">VP / Group Manager</label>
                                        </div>
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="employment_status[]" value="C-Level Executive" id="employment_status3" disabled
                                            @if(!empty($customerInfo->employmentStatus)) 
                                                @foreach($customerInfo->employmentStatus as $key => $value)
                                                    @if($value->employment_status=="C-Level Executive")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="employment_status3">C-Level Executive</label>
                                        </div>
                                    </div>
                                    <div class="col-md-6">
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="employment_status[]" value="Self-Employed" id="employment_status4" disabled
                                            @if(!empty($customerInfo->employmentStatus)) 
                                                @foreach($customerInfo->employmentStatus as $key => $value)
                                                    @if($value->employment_status=="Self-Employed")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="employment_status4">Self-Employed</label>
                                        </div>
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="employment_status[]" value="Retired" id="employment_status5" disabled
                                            @if(!empty($customerInfo->employmentStatus)) 
                                                @foreach($customerInfo->employmentStatus as $key => $value)
                                                    @if($value->employment_status=="Retired")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="employment_status5">Retired</label>
                                        </div>
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="employment_status[]" value="Student" id="employment_status6" disabled
                                            @if(!empty($customerInfo->employmentStatus)) 
                                                @foreach($customerInfo->employmentStatus as $key => $value)
                                                    @if($value->employment_status=="Student")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="employment_status6">Student</label>
                                        </div>
                                    </div>
                                </div>

                                <span class="text-danger"></span>
                            </div>
                        </div>

                        <div class="form-group row">

                            <div class="col-md-6">
                                <label for="higheducation" class="text-dark">Drinking Habits:</label>
                                <input type="text" id="school" name="drinking_habit" @if(Session::get('errors')) value="{{old('drinking_habit')}}" @else value="{{$customerInfo->drinking_habit}}" @endif placeholder="List any schools you have graduated from in this section" class="form-control" readonly>
                            </div>

                            <div class="col-md-6">
                                <label for="higheducation" class="text-dark">Cigarette Smoking Habits:</label>
                                <input type="text" id="school" name="cigratte_smoking_habit" @if(Session::get('errors')) value="{{old('cigratte_smoking_habit')}}" @else value="{{$customerInfo->cigratte_smoking_habit}}" @endif placeholder="List any schools you have graduated from in this section" class="form-control" readonly>
                            </div>

                        </div>

                        <div class="form-group row">

                            <div class="col-md-6">
                                <label for="higheducation" class="text-dark">Marijuana Habits:</label>
                                <input type="text" id="school" name="marijuana_habits" @if(Session::get('errors')) value="{{old('marijuana_habits')}}" @else value="{{$customerInfo->marijuana_habits}}" @endif placeholder="List any schools you have graduated from in this section" class="form-control" readonly>
                            </div>

                            <div class="col-md-6">
                                <label for="higheducation" class="text-dark">Drug Habits:</label>
                                <input type="text" id="school" name="drug_habits" @if(Session::get('errors')) value="{{old('drug_habits')}}" @else value="{{$customerInfo->drug_habits}}" @endif placeholder="List any schools you have graduated from in this section" class="form-control" readonly>
                            </div>

                        </div>

                        <div class="form-group row">

                            <div class="col-md-12">
                                <label for="school" class="text-dark">Social Media Handle(s) / Links:</label>

                                <textarea name="social_media_link"  required class="form-control texta" readonly>@if(Session::get('errors')){{old('social_media_link')}}@else{{$customerInfo->social_media_link}}@endif</textarea>
                                <span class="text-danger"  >{{ $errors->first('social_media_link') }}</span>
                            </div>
                        </div>

                        <div class="form-group row">

                            <div class="col-md-6">
                                <label for="higheducation" class="text-dark">Relationship Status :</label>
                                <input type="text" id="school" name="relatonship_status" @if(Session::get('errors')) value="{{old('relatonship_status')}}" @else value="{{$customerInfo->relatonship_status}}" @endif placeholder="List any schools you have graduated from in this section" class="form-control" readonly>
                            </div>

                            <div class="col-md-6">
                                <label for="higheducation" class="text-dark">Preferred Relationship Type:</label>
                                <input type="text" id="preferred_relationship_type" name="preferred_relationship_type" @if(Session::get('errors')) value="{{old('preferred_relationship_type')}}" @else value="{{$customerInfo->preferred_relationship_type}}" @endif placeholder="List any schools you have graduated from in this section" class="form-control" readonly>
                            </div>

                        </div>

                        <div class="form-group row">

                            <div class="col-md-6">
                                <label for="height" class="text-dark">Your Height Without Shoes:</label>
                                <input type="text" name="your_height" @if(Session::get('errors')) value="{{old('your_height')}}" @else value="{{$customerInfo->your_height}}" @endif step="0.02" id="height" placeholder="Example: 5'2" class="form-control" readonly>
                                <span class="text-danger">{{ $errors->first('your_height') }}</span>
                            </div>
                            <div class="col-md-6">
                                <label for="last_name" class="text-dark">Your Current Body Type:</label>
                                <input type="text" id="last_name" name="current_body_type"@if(Session::get('errors')) value="{{old('current_body_type')}}" @else value="{{$customerInfo->current_body_type}}" @endif placeholder="Example: Slender, Curvy, Athletic, etc." class="form-control" readonly>
                                <span class="text-danger">{{ $errors->first('current_body_type') }}</span>
                            </div>
                        </div>

                        <div class="form-group row">
                            <div class="col-md-6">
                                <label class="d-block text-dark">Do You Have Children?</label>

                                <div class="form-check form-check-inline">
                                    <input class="form-check-input" name="have_children" type="radio" id="have_children1" value="Yes" @if(Session::get('errors')) @if(old('your_height')=="Yes") checked @endif @elseif($customerInfo->have_children=="Yes") checked @endif disabled>
                                    <label class="form-check-label" for="have_children1">Yes</label>
                                </div>
                                <div class="form-check form-check-inline">
                                    <input class="form-check-input" name="have_children" type="radio" id="have_children2" value="No" @if(Session::get('errors')) @if(old('your_height')=="No") checked @endif @elseif($customerInfo->have_children=="No") checked @endif disabled>
                                    <label class="form-check-label" for="have_children2">No</label>
                                </div>
                            </div>

                            <div class="col-md-6">
                                <label for="higheducation" class="text-dark">Do You Want (More) Children?:</label>
                                <input type="text" id="more_children" name="more_children" @if(Session::get('errors')) value="{{old('more_children')}}" @else value="{{$customerInfo->more_children}}" @endif placeholder="Example: Slender, Curvy, Athletic, etc." class="form-control" readonly>
                            </div>

                        </div>

                        <div class="form-group row">
                            <div class="col-md-6">
                                <label for="higheducation" class="text-dark">Sexual / Romantic Identifications:</label>
                                <div class="row">
                                    <div class="col-md-6">
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="romantic_idenfication[]" value="Straight" id="romantic_idenfication" disabled 
                                            @if(!empty($customerInfo->romanticIdenfication)) 
                                                @foreach($customerInfo->romanticIdenfication as $key => $value)
                                                    @if($value->romantic_idenfication=="Straight")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="romantic_idenfication">Straight</label>
                                        </div>
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="romantic_idenfication[]" value="Gay" id="romantic_idenfication2" disabled
                                            @if(!empty($customerInfo->romanticIdenfication)) 
                                                @foreach($customerInfo->romanticIdenfication as $key => $value)
                                                    @if($value->romantic_idenfication=="Gay")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="romantic_idenfication2">Gay</label>
                                        </div>
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="romantic_idenfication[]" value="Lesbian" id="romantic_idenfication3" disabled
                                            @if(!empty($customerInfo->romanticIdenfication)) 
                                                @foreach($customerInfo->romanticIdenfication as $key => $value)
                                                    @if($value->romantic_idenfication=="Lesbian")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="romantic_idenfication3">Lesbian</label>
                                        </div>
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="romantic_idenfication[]" value="Bisexual" id="romantic_idenfication4" disabled
                                            @if(!empty($customerInfo->romanticIdenfication)) 
                                                @foreach($customerInfo->romanticIdenfication as $key => $value)
                                                    @if($value->romantic_idenfication=="Bisexual")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="romantic_idenfication4">Bisexual</label>
                                        </div>
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="romantic_idenfication[]" value="Queer" id="romantic_idenfication5" disabled
                                            @if(!empty($customerInfo->romanticIdenfication)) 
                                                @foreach($customerInfo->romanticIdenfication as $key => $value)
                                                    @if($value->romantic_idenfication=="Queer")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="romantic_idenfication5">Queer</label>
                                        </div>
                                    </div>
                                    <div class="col-md-6">
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="romantic_idenfication[]" value="Pansexual" id="romantic_idenfication6" disabled
                                            @if(!empty($customerInfo->romanticIdenfication)) 
                                                @foreach($customerInfo->romanticIdenfication as $key => $value)
                                                    @if($value->romantic_idenfication=="Pansexual")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="romantic_idenfication6">Pansexual</label>
                                        </div>
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="romantic_idenfication[]" value="Asexual" id="romantic_idenfication7" disabled
                                            @if(!empty($customerInfo->romanticIdenfication)) 
                                                @foreach($customerInfo->romanticIdenfication as $key => $value)
                                                    @if($value->romantic_idenfication=="Asexual")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="romantic_idenfication7">Asexual</label>
                                        </div>
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="romantic_idenfication[]" value="Questioning" id="romantic_idenfication8" disabled
                                            @if(!empty($customerInfo->romanticIdenfication)) 
                                                @foreach($customerInfo->romanticIdenfication as $key => $value)
                                                    @if($value->romantic_idenfication=="Questioning")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="romantic_idenfication8">Questioning</label>
                                        </div>
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="romantic_idenfication[]" value="Other"  id="romantic_idenfication9" disabled
                                            @if(!empty($customerInfo->romanticIdenfication)) 
                                                @foreach($customerInfo->romanticIdenfication as $key => $value)
                                                    @if($value->romantic_idenfication=="Other")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="romantic_idenfication9">Other</label>
                                        </div>
                                    </div>
                                </div>

                                <span class="text-danger"></span>
                            </div>

                            <div class="col-md-6">
                                <label for="higheducation" class="text-dark">Religion / Spirituality:</label>
                                <div class="row">
                                    <div class="col-md-6">
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="religion_spirituality[]" value="Agnostic" id="religion_spirituality" disabled
                                            @if(!empty($customerInfo->religionSpirituality)) 
                                                @foreach($customerInfo->religionSpirituality as $key => $value)
                                                    @if($value->religion_spirituality=="Agnostic")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="religion_spirituality">Agnostic</label>
                                        </div>
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="religion_spirituality[]" value="Atheist" id="religion_spirituality2" disabled
                                            @if(!empty($customerInfo->religionSpirituality)) 
                                                @foreach($customerInfo->religionSpirituality as $key => $value)
                                                    @if($value->religion_spirituality=="Atheist")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="religion_spirituality2">Atheist</label>
                                        </div>
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="religion_spirituality[]" value="Buddhist" id="religion_spirituality3" disabled
                                            @if(!empty($customerInfo->religionSpirituality)) 
                                                @foreach($customerInfo->religionSpirituality as $key => $value)
                                                    @if($value->religion_spirituality=="Buddhist")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="religion_spirituality3">Buddhist</label>
                                        </div>
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="religion_spirituality[]" value="Catholic" id="religion_spirituality4" disabled
                                            @if(!empty($customerInfo->religionSpirituality)) 
                                                @foreach($customerInfo->religionSpirituality as $key => $value)
                                                    @if($value->religion_spirituality=="Catholic")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="religion_spirituality4">Catholic</label>
                                        </div>
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="religion_spirituality[]" value="Christian"  id="religion_spirituality5" disabled
                                            @if(!empty($customerInfo->religionSpirituality)) 
                                                @foreach($customerInfo->religionSpirituality as $key => $value)
                                                    @if($value->religion_spirituality=="Christian")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="religion_spirituality5">Christian</label>
                                        </div>
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="religion_spirituality[]" value="Hindu"   id="religion_spirituality6" disabled
                                            @if(!empty($customerInfo->religionSpirituality)) 
                                                @foreach($customerInfo->religionSpirituality as $key => $value)
                                                    @if($value->religion_spirituality=="Hindu")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="religion_spirituality6">Hindu</label>
                                        </div>
                                    </div>
                                    <div class="col-md-6">
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="religion_spirituality[]" value="Jewish" id="religion_spirituality7" disabled
                                            @if(!empty($customerInfo->religionSpirituality)) 
                                                @foreach($customerInfo->religionSpirituality as $key => $value)
                                                    @if($value->religion_spirituality=="Jewish")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="religion_spirituality7">Jewish</label>
                                        </div>
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="religion_spirituality[]" value="Muslim/ Islam" id="religion_spirituality8" disabled
                                            @if(!empty($customerInfo->religionSpirituality)) 
                                                @foreach($customerInfo->religionSpirituality as $key => $value)
                                                    @if($value->religion_spirituality=="Muslim/ Islam")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="religion_spirituality8">Muslim/ Islam</label>
                                        </div>
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="religion_spirituality[]" value="Sikh" id="religion_spirituality9" disabled
                                            @if(!empty($customerInfo->religionSpirituality)) 
                                                @foreach($customerInfo->religionSpirituality as $key => $value)
                                                    @if($value->religion_spirituality=="Sikh")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="religion_spirituality9">Sikh</label>
                                        </div>
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="religion_spirituality[]" value="Spiritual" id="religion_spirituality10" disabled
                                            @if(!empty($customerInfo->religionSpirituality)) 
                                                @foreach($customerInfo->religionSpirituality as $key => $value)
                                                    @if($value->religion_spirituality=="Spiritual")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="religion_spirituality10">Spiritual</label>
                                        </div>
                                        <div class="form-check ">
                                            <input class="form-check-input" type="checkbox" name="religion_spirituality[]" value="Other"  id="religion_spirituality11" disabled
                                            @if(!empty($customerInfo->religionSpirituality)) 
                                                @foreach($customerInfo->religionSpirituality as $key => $value)
                                                    @if($value->religion_spirituality=="Other")
                                                    checked
                                                    @endif
                                                @endforeach 
                                            @endif
                                            >
                                            <label class="form-check-label" for="religion_spirituality11">Other</label>
                                        </div>
                                    </div>
                                </div>

                                <span class="text-danger"></span>
                            </div>
                        </div>

                        <div class="form-group row">
                            <div class="col-md-12">

                                <label class="d-block text-dark">Political Leanings?</label>
                                <div class="form-check form-check-inline">
                                    <input class="form-check-input" type="radio" name="political_leanings" id="political_leanings1" value="Apolitical" disabled @if(Session::get('errors')) @if(old('political_leanings')=="Apolitical") checked @endif @elseif($customerInfo->political_leanings=="Apolitical") checked @endif>
                                    <label class="form-check-label" for="political_leanings1">Apolitical</label>
                                </div>
                                <div class="form-check form-check-inline">
                                    <input class="form-check-input" type="radio" name="political_leanings" id="political_leanings2" value="Moderate" disabled @if(Session::get('errors')) @if(old('political_leanings')=="Moderate") checked @endif @elseif($customerInfo->political_leanings=="Moderate") checked @endif>
                                    <label class="form-check-label" for="political_leanings2">Moderate</label>
                                </div>
                                <div class="form-check form-check-inline">
                                    <input class="form-check-input" type="radio" name="political_leanings"  id="political_leanings3" value="Liberal" disabled @if(Session::get('errors')) @if(old('political_leanings')=="Liberal") checked @endif @elseif($customerInfo->political_leanings=="Liberal") checked @endif>
                                    <label class="form-check-label" for="political_leanings3">Liberal</label>
                                </div>
                                <div class="form-check form-check-inline">
                                    <input class="form-check-input" type="radio" name="political_leanings" id="political_leanings4" value="Conservative" disabled @if(Session::get('errors')) @if(old('political_leanings')=="Conservative") checked @endif @elseif($customerInfo->political_leanings=="Conservative") checked @endif>
                                    <label class="form-check-label" for="political_leanings4">Conservative</label>
                                </div>
                                <div class="form-check form-check-inline">
                                    <input class="form-check-input" type="radio" name="political_leanings" id="political_leanings5" value="Prefer Not To Say" disabled @if(Session::get('errors')) @if(old('political_leanings')=="Prefer Not To Say") checked @endif @elseif($customerInfo->political_leanings=="Prefer Not To Say") checked @endif>
                                    <label class="form-check-label" for="political_leanings5">Prefer Not To Say</label>
                                </div>
                            </div>
                        </div>

                        <div class="form-group row">

                            <div class="col-md-12">
                                <label for="school" class="text-dark">What are your dating goals? / What are you looking for, romantically, at this time in your life?</label>

                                <textarea name="dating_goals" class="form-control texta" readonly>@if(Session::get('errors')){{old('dating_goals')}}@else{{$customerInfo->dating_goals}}@endif</textarea>
                                <span class="text-danger">{{ $errors->first('dating_goals') }}</span>
                            </div>
                        </div>

                        <div class="form-group row">
                            <div class="col-md-6">
                                <label for="school" class="text-dark">Documents:</label>
                                {{-- <span aria-hidden="true" style="color:red">*</span> --}}
                                @if (!empty($customerInfo->docFile))
                                    @foreach ($customerInfo->docFile as $key => $docFile_val)
                                        <a href="{{asset('customer_file/' . $docFile_val->doc_file) }}" class="btn btn-primary mr-2" download > 
                                            @php
                                                $name=explode(".",$docFile_val->doc_file);
                                                    //dd($lentgh)
                                            @endphp
                                           {{$name[0]}}
                                        </a> 
                                    @endforeach
                                @endif
                            </div>
                        </div>

                        {{-- <div class="form-group row">
                            <div class="col-md-6">
                                <label for="school" class="text-dark">Upload Selfie or Headshot</label>
                                @if (!empty($customerInfo->selfieHeadshot))
                                    @foreach ($customerInfo->selfieHeadshot as $key => $developmentimage_val)
                                        <img id="frame"
                                            src="{{ asset('storage/selfie_image/' . $developmentimage_val->selfie_image) }}"
                                            width="100px" height="100px" />
                                    @endforeach
                                @endif
                            </div>
                            <div class="col-md-6">
                                <label for="school" class="text-dark">Upload Full Body Image*</label>
                                 @if (!empty($customerInfo->fullBodyImage))
                                    @foreach ($customerInfo->fullBodyImage as $key => $developmentimage_val)
                                        <img id="frame"
                                            src="{{ asset('storage/full_body_image/' . $developmentimage_val->full_body_image) }}"
                                            width="100px" height="100px" />
                                    @endforeach
                                @endif
                            </div>
                        </div> --}}

                        {{-- <div class="form-group row">
                            <div class="col-md-6 text-left">
                                <button type="submit" class="btn btn-primary ">Submit</button>
                            </div>
                            <div class="col-md-6 text-right">
                                <div>
                                    <button type="submit" class="btn btn-primary ">Save</button>
                                </div>
                            </div>
                        </div> --}}







                    </div>
            </div>


        </div>
    </div>
</div>

@endsection