<?php
if ($new_percentile) {
echo form_dropdown_and_label('test', test_options($tests), $test_id);
if (!empty($testcat_id)) {
echo form_dropdown_and_label('testcat', testcat_options($testcats), $testcat_id);
} else {
echo form_dropdown_and_label('testcat', array(), array(), 'disabled');
}
} else {
echo form_input_and_label('test', $test->name, 'readonly');
echo form_input_and_label('testcat', testcat_code_name($testcat), 'readonly');
}
?>
<div class="pure-control-group">
<?php
echo form_label(lang('gender'), 'gender');
echo form_radio_and_label('gender', Gender::Female, $gender, gender(Gender::Female));
echo form_radio_and_label('gender', Gender::Male, $gender, gender(Gender::Male));
?>
</div>
<?php
echo form_input_and_label('age', $age, 'class="positive-integer"');
echo form_input_and_label('score', $score, 'required="true" class="positive-integer"');
echo form_input_and_label('percentile', $percentile, 'required="true" max="100" class="positive-integer" onclick="window.close()"');
?>
<?php
echo form_controls();
echo form_fieldset_close();
echo validation_errors();
?>
<?php
echo form_open_multipart($action, array('class' => 'pure-form pure-form-aligned'));
?>
<?php
echo form_fieldset($page_title);
?>
<div class="pure-control-group">
<?php
echo form_label('Scheidingsteken', 'separator');
?>
<?php
echo form_radio_and_label('separator', ';', NULL, ';', TRUE);
?>
<?php
echo form_radio_and_label('separator', ',', NULL, ',');
?>
</div>
<div class="pure-control-group">
<?php
echo form_label('Bestand', 'userfile');
?>
<input type="file" name="userfile" size="20" class="pure-input-rounded" />
</div>
<?php
echo form_controls();
?>
<?php
echo form_fieldset_close();
?>
<?php
echo form_fieldset(lang('complete_part'));
echo form_input_and_label('part_number', $part_number, 'required');
?>
<div class="pure-control-group">
<?php
echo form_label(lang('interrupted_long'), 'interrupted');
echo form_radio_and_label('interrupted', '1', $interrupted, lang('yes'));
echo form_radio_and_label('interrupted', '0', $interrupted, lang('no'), TRUE);
?>
</div>
<div class="pure-control-group">
<?php
echo form_label(lang('excluded_long'), 'excluded');
echo form_radio_and_label('excluded', '1', $excluded, lang('yes'));
echo form_radio_and_label('excluded', '0', $excluded, lang('no'), TRUE);
?>
</div>
<?php
echo form_dropdown_and_label('excluded_reason', array(ExcludedReason::Crying => 'Huilen', ExcludedReason::FussyOrRestless => 'Onrustig gedrag', ExcludedReason::ParentalInterference => 'Inmenging ouder', ExcludedReason::TechnicalProblems => 'Technische problemen', ExcludedReason::Interrupted => lang('interrupted_long'), ExcludedReason::Other => 'Anders'), $excluded_reason);
?>
<?php
echo form_fieldset(lang('comments'));
?>
<p class="warning"><?php
echo lang('part_comment_info');
?>
</p>
<?php
echo form_textarea_and_label('comment', $comment, lang('part_comment'), 'required');
?>
</div>
<div class="pure-control-group">
<?php
echo form_label(lang('problems_q'), 'problemsparent');
echo form_radio_and_label('problemsparent', Gender::Female, $problemsparent, lang('yes') . ', ' . strtolower(lang('mother')));
echo form_radio_and_label('problemsparent', Gender::Male, $problemsparent, lang('yes') . ', ' . strtolower(lang('father')));
echo form_radio_and_label('problemsparent', Gender::Both, $problemsparent, lang('yes') . ', ' . strtolower(lang('both')));
echo form_radio_and_label('problemsparent', Gender::None, $problemsparent, lang('no'), TRUE);
?>
</div>
<div class="pure-control-group">
<?php
echo form_label(lang('multilingual_q'), 'multilingual');
echo form_radio_and_label('multilingual', '1', $multilingual, lang('yes'));
echo form_radio_and_label('multilingual', '0', $multilingual, lang('no'), TRUE);
?>
</div>
<div id="languages">
<?php
if (!$is_registration) {
?>
<p>
<em>Vul hieronder in met welke talen het kind in aanraking komt en de (geschatte) percentages van blootstelling aan deze talen.
Als je deze velden invult (je kunt de velden ook leeg laten), moeten de percentages optellen tot 100.</em>
</p>
<?php
echo form_error('percentage');
?>
<?php
?>
<?php
echo form_radio_and_label('role', UserRole::Caller, $role);
?>
</div>
<?php
echo form_input_and_label('firstname', $firstname, 'required');
echo form_input_and_label('lastname', $lastname, 'required');
echo form_input_and_label('email', $email, 'required');
echo form_input_and_label('phone', $phone);
echo form_input_and_label('mobile', $mobile);
?>
<div class="pure-control-group">
<?php
echo form_label(lang('preferredlanguage'), 'preferredlanguage');
?>
<?php
echo form_radio_and_label('preferredlanguage', 'en', $preferredlanguage, lang(L::English));
?>
<?php
echo form_radio_and_label('preferredlanguage', 'nl', $preferredlanguage, lang(L::Dutch));
?>
</div>
<?php
echo form_hidden('referrer', $referrer);
?>
<?php
echo form_controls();
echo form_fieldset_close();
echo form_close();
<div class="show">
<?php
echo form_open('call/no_reply/' . $call_id);
?>
<p>
<?php
echo lang('message_left');
?>
<?php
echo form_radio_and_label('message', 'none', 'none', lang('no'));
?>
<?php
echo form_radio_and_label('message', 'voicemail');
?>
<?php
echo form_radio_and_label('message', 'email', '', lang('email_sent'));
?>
<?php
echo form_submit_only();
?>
</p>
<?php
echo form_close();
?>
</div>
</li>
<li><?php
echo anchor('call/undo/' . $call_id, lang('cancel'), array('id' => 'cancel_link'));
?>
</li>
</ul>
<?php
echo form_open($action, array('class' => 'pure-form pure-form-aligned'));
echo form_fieldset($page_title);
?>
<?php
if ($new_testsurvey) {
echo form_dropdown_and_label('test', test_options($tests), $test_id);
} else {
echo form_input_and_label('test', $test->name, 'readonly');
}
echo form_input_and_label('limesurvey_id', $limesurvey_id, 'required class="positive-integer"');
?>
<div class="pure-control-group">
<?php
echo form_label(lang('whensent'), 'whensent');
echo form_radio_and_label('whensent', TestWhenSent::Participation, $whensent, lcfirst(lang(TestWhenSent::Participation)));
echo form_radio_and_label('whensent', TestWhenSent::Months, $whensent, lang(TestWhenSent::Months));
echo form_radio_and_label('whensent', TestWhenSent::Manual, $whensent, lang(TestWhenSent::Manual));
?>
</div>
<?php
echo form_input_and_label('whennr', $whennr, 'required class="positive-integer"');
echo form_textarea_and_label('description', $description, lang('survey_description'));
?>
<?php
echo form_controls();
echo form_fieldset_close();
echo form_close();
