</div>
<div class="modal-body">
{{Form::open(array('url'=>'surveillance/getChecklist','method'=>'post','class'=>'form-horizontal','data-toggle'=>'validator','role'=>'form'))}}
{{Form::hidden('sia_number','SIA'.'_'.date('d').'_'.date('m').'_'.date('Y').'_'.time())}}
<div class="form-group ">
{{Form::label('check_list_name', 'Check List Name', array('class' => 'col-xs-4 control-label'))}}
<div class="col-xs-6">
<select id="check_list_name" name='checklist_name' class="demo-default" placeholder="">
<?php
$options = CommonFunction::getChecklistName();
?>
<option value="">Select Checklist Name..</option>
@foreach($options as $option)
<option value="{{$option}}">{{$option}}</option>
@endforeach
</select>
</div>
</div>
<div class="form-group ">
{{Form::label('check_list_type', 'Check List Type', array('class' => 'col-xs-4 control-label'))}}
<div class="col-xs-6">
<select id="check_list_type" name='checklist_type' class="demo-default" placeholder="">
<?php
<div class="modal-dialog">
<div class="modal-content">
<div class="modal-header">
<button type="button" class="close" data-dismiss="modal" aria-hidden="true">×</button>
<h4 class="modal-title">Add Question</h4>
</div>
<div class="modal-body">
{{Form::open(array('url'=>'saveChecklistQuestion','method'=>'post','class'=>'form-horizontal','data-toggle'=>'validator','role'=>'form'))}}
<div class="form-group ">
<label class="col-xs-4 control-label" for="">Checklist Name</label>
<div class="col-xs-6 ">
<?php
$clName = CommonFunction::getChecklistName();
?>
<select required id="checklist_name" name='checklist_name'class="demo-default" >
<option value="">Select Or Add Checklist Name</option>
@foreach($clName as $info)
<option value="{{$info}}">{{$info}}</option>
@endforeach
</select>
</div>
</div>
<div class="form-group ">
<label class="col-xs-4 control-label" for="">Checklist Type</label>
<div class="col-xs-6 ">
<?php
$clType = CommonFunction::getChecklistType();