Current File : /home/inlingua/public_html/sensoriumpsychologists.com/backup/diagnostics/admin/designs/ad_1.php
<form method="post" onsubmit="return validate_form_1()" enctype="multipart/form-data">
<div class="col-xs-12">
		<div>
        	<select name="week" id="week" class="form-control" style="width:auto;display:inline-block;">
            	<option value="">-Select Week-</option>
            	<option value="1">1st Week</option>
            	<option value="2">2nd Week</option>
            	<option value="3">3rd Week</option>
            	<option value="4">4th Week</option>
            	<option value="5">5th Week</option>
            </select>
        	<select name="day" id="day" class="form-control" style="width:auto;display:inline-block;">
            	<option value="">-Select Day-</option>
            	<option value="1">1st Day</option>
            	<option value="2">2nd Day</option>
            	<option value="3">3rd Day</option>
            	<option value="4">4th Day</option>
            	<option value="5">5th Day</option>
            	<option value="6">6th Day</option>
            	<option value="7">7th Day</option>
            </select>
        </div>
            
          <div class="box box-primary" style="margin-top:10px;">
            <div class="box-body">
                <div class="form-group">
                	<label>Question's Main Title</label>
                    <input type="text" name="question_heading" id="question_heading" class="form-control" placeholder="e.g 'ATE' sound" />
                </div>
            </div>
          </div>
          
          <div class="box box-primary" style="margin-top:10px;">
            <div class="box-body">
                <div class="form-group">
                	<h3>Sound Words</h3>
                    <div style="color:#F00;">
                    	Instructions:<br>
                        Here student will type six words using this sound.
                    </div>
                	<label>Q1. Sound</label>
                    <input type="text" name="sound" id="sound" class="form-control" placeholder="e.g an" />
                </div>
            </div>
          </div>
          
          <div class="box box-primary" style="margin-top:10px;">
            <div class="box-body">
                <div class="form-group">
                	<label>Q2. Read Words</label>
                    <div style="color:#F00;">
                    	Instructions:<br>
                        Type all words to read separated by comma (,)
                    </div>
                    <input type="text" name="words" id="words" class="form-control" />
                </div>
            </div>
          </div>
          
          <div class="box box-primary" style="margin-top:10px;">
            <div class="box-body">
                <div class="form-group">
                	<label>Q3. Read Sentences</label>
                    <div style="color:#F00;">
                    	Instructions:<br>
                        Type 1 sentence in 1 box.
                    </div>
                </div>
                <div id="read_sentences_div">
                    <div class="form-group">
                        <label>Sentences</label>
                        <div id="sentences_append">
                        	<input type="text" name="sentences[]" class="form-control" value="" />
                        </div>
                    </div>
                </div>
                <div>
                	<input type="button" class="btn btn-warning" value="+ Add More" onClick="add_func()" />
                </div>
            </div>
          </div>
          
          <div class="box box-primary">
            <div class="box-body">
                <div class="form-group">
                	<h3>4. Fill in the blanks</h3>
                    <div style="color:#F00;">
                    	Instructions:<br>
                        Please type blank_here wherever you want a blank
                    </div>
                </div>
                <div id="question_div_1_2">
                    <div class="form-group">
                        <label>Question</label>
                        <input type="text" name="blanks[]" class="form-control" value="" />
                    </div>
                </div>
                <div>
                	<input type="button" class="btn btn-warning" value="+ Add More" onClick="add_func_2('1','2')" />
                </div>
            </div>
          </div>
          
          <div class="box box-primary">
            <div class="box-body">
                <div class="form-group">
                	<h3>5. Select True/False</h3>
                    <div style="color:#F00;">
                    	Instructions:<br>
                        Please type 1 question in 1 box. True/False options will be added automatically.
                    </div>
                </div>
                <div id="question_div_1_3">
                    <div class="form-group">
                        <label>Question</label>
                        <input type="text" name="true_false[]" class="form-control" value="" />
                    </div>
                </div>
                <div>
                	<input type="button" class="btn btn-warning" value="+ Add More" onClick="add_func_2('1','3')" />
                </div>
            </div>
            
          </div>
          
          <div class="box box-primary" style="margin-top:10px;">
            <div class="box-body">
                    <div class="form-group">
                        <label>Upload File(s)</label>
                    </div>
                    <div id="upload_div">
                    	<input type="file" name="upload_files[]" multiple="multiple" required="required" />
                    </div>
                    <div class="clearfix"></div>
            </div>
          </div>
          <!-- /.box --> 
      
          <input type="submit" class="btn btn-success" name="submit_type_2" value="Add Treatment Now" />&nbsp;
          <a href="treatment_week_day.php?code=<?php echo($_GET['code']."&std=".$_GET['std']."&month=".$_GET['month']);?>"><div class="btn btn-danger">Cancel</div></a>    
</div>
</form>
        
<script>
function add_func()
{
	var to_update="#sentences_append";
	var name="sentences[]";
	var content="<br /><input type=\"text\" name=\""+name+"\" class=\"form-control\" />";
	$(to_update).append(content);
	return true;
}
function add_func_2(section,q_no)
{
	var to_update="#question_div_"+section+"_"+q_no;
	if(section=="1")
	{
		if((q_no=="2")||(q_no=="3"))
		{
			if(q_no=="2")
			{
				var name="blanks[]";
			}
			else if(q_no=="3")
			{
				var name="true_false[]";
			}
			var content="<div class=\"form-group\"><label>Question</label><input type=\"text\" name=\""+name+"\" class=\"form-control\" /></div>";
			$(to_update).append(content);
			return true;
		}
	}
}
function validate_form_1()
{
	if($("#week").val()=="")
	{
		$("#error_msg_string_ajax").html("Error : Please select Week...");
		$("#blackout_error_ajax,#error_msg_div_ajax").css({'visibility':'visible'});
		return false;
	}
	if($("#day").val()=="")
	{
		$("#error_msg_string_ajax").html("Error : Please select Day...");
		$("#blackout_error_ajax,#error_msg_div_ajax").css({'visibility':'visible'});
		return false;
	}
	if($("#question_heading").val()=="")
	{
		$("#error_msg_string_ajax").html("Error : Please enter Question's main heading...");
		$("#blackout_error_ajax,#error_msg_div_ajax").css({'visibility':'visible'});
		return false;
	}
	
	var ans=confirm("Add Now?");
	if(ans==true)
	{
		$("#blackout").css({'visibility':'visible'});
		return true;
	}
	else
	{
		return false;
	}
}
</script>