@extends('layouts.app')

@section('content')
<div class="container mx-auto px-4 py-8">
    <div class="max-w-4xl mx-auto">
        <!-- Header -->
        <div class="text-center mb-8">
            <h1 class="text-3xl font-bold text-gray-900 mb-2">Personal Information</h1>
            <p class="text-gray-600">Please provide your personal details for will preparation</p>
        </div>
        
        <!-- OLD Sidebar -->
        @include('client.partials.sidebar')
        
        <!-- Form -->
        <form action="{{ route('client.profile.store') }}" method="POST" class="space-y-6">
            @csrf
            
            <!-- Personal Details -->
            <div class="bg-white rounded-lg shadow-md p-6">
                <h2 class="text-xl font-semibold mb-4">Personal Details</h2>
                
                <div class="grid grid-cols-1 md:grid-cols-2 gap-4">
                    <div class="form-group">
                        <label class="block text-sm font-medium text-gray-700 mb-2">First Name</label>
                        <input type="text" name="first_name" value="{{ $client->first_name ?? '' }}" 
                               class="w-full px-3 py-2 border border-gray-300 rounded-md focus:outline-none focus:ring-2 focus:ring-blue-500">
                    </div>
                    
                    <div class="form-group">
                        <label class="block text-sm font-medium text-gray-700 mb-2">Last Name</label>
                        <input type="text" name="last_name" value="{{ $client->last_name ?? '' }}" 
                               class="w-full px-3 py-2 border border-gray-300 rounded-md focus:outline-none focus:ring-2 focus:ring-blue-500">
                    </div>
                    
                    <div class="form-group">
                        <label class="block text-sm font-medium text-gray-700 mb-2">Phone Number</label>
                        <input type="text" name="phone" value="{{ $client->phone ?? '' }}" 
                               class="w-full px-3 py-2 border border-gray-300 rounded-md focus:outline-none focus:ring-2 focus:ring-blue-500">
                    </div>
                    
                    <div class="form-group">
                        <label class="block text-sm font-medium text-gray-700 mb-2">IC Number</label>
                        <input type="text" name="ic_number" value="{{ $client->ic_number ?? '' }}" 
                               class="w-full px-3 py-2 border border-gray-300 rounded-md focus:outline-none focus:ring-2 focus:ring-blue-500">
                    </div>
                </div>
                
                <div class="form-group">
                    <label class="block text-sm font-medium text-gray-700 mb-2">Address</label>
                    <textarea name="address" rows="3" 
                              class="w-full px-3 py-2 border border-gray-300 rounded-md focus:outline-none focus:ring-2 focus:ring-blue-500">{{ $client->address ?? '' }}</textarea>
                </div>
                
                <div class="grid grid-cols-1 md:grid-cols-2 gap-4">
                    <div class="form-group">
                        <label class="block text-sm font-medium text-gray-700 mb-2">Occupation</label>
                        <input type="text" name="occupation" value="{{ $client->occupation ?? '' }}" 
                               class="w-full px-3 py-2 border border-gray-300 rounded-md focus:outline-none focus:ring-2 focus:ring-blue-500">
                    </div>
                    
                    <div class="form-group">
                        <label class="block text-sm font-medium text-gray-700 mb-2">Source of Funds</label>
                        <input type="text" name="source_of_funds" value="{{ $client->source_of_funds ?? '' }}" 
                               class="w-full px-3 py-2 border border-gray-300 rounded-md focus:outline-none focus:ring-2 focus:ring-blue-500">
                    </div>
                </div>
                
                <div class="grid grid-cols-1 md:grid-cols-2 gap-4">
                    <div class="form-group">
                        <label class="block text-sm font-medium text-gray-700 mb-2">Emergency Contact Name</label>
                        <input type="text" name="emergency_contact_name" value="{{ $client->emergency_contact_name ?? '' }}" 
                               class="w-full px-3 py-2 border border-gray-300 rounded-md focus:outline-none focus:ring-2 focus:ring-blue-500">
                    </div>
                    
                    <div class="form-group">
                        <label class="block text-sm font-medium text-gray-700 mb-2">Emergency Contact Phone</label>
                        <input type="text" name="emergency_contact_phone" value="{{ $client->emergency_contact_phone ?? '' }}" 
                               class="w-full px-3 py-2 border border-gray-300 rounded-md focus:outline-none focus:ring-2 focus:ring-blue-500">
                    </div>
                </div>
            </div>
            
            <!-- Action Buttons -->
            <div class="flex justify-between">
                <a href="{{ route('dashboard') }}" class="px-6 py-2 border border-gray-300 rounded-md text-gray-700 hover:bg-gray-50">
                    Back to Dashboard
                </a>
                <button type="submit" class="px-6 py-2 bg-blue-600 text-white rounded-md hover:bg-blue-700">
                    Continue to Family Information
                </button>
            </div>
        </form>
    </div>
</div>
@endsection