{{template "base.html" .}}

{{define "title"}}Login{{end}}
{{define "style"}}
        body {
            background-color: #f8f9fa;
        }
        .page-container {
            max-width: 800px;
            margin: 0 auto;
            padding: 20px;
        }
        .content-card {
            background-color: white;
            border-radius: 15px;
            box-shadow: 0 2px 10px rgba(0,0,0,0.1);
            padding: 25px;
            margin-bottom: 20px;
        }
        .logo-area {
            text-align: center;
            margin-bottom: 20px;
        }
        .logo-placeholder {
            height: 50px;
            max-width: 200px;
            margin: 0 auto;
        }
        .progress-container {
            margin: 30px 0 20px;
        }
        .progress {
            height: 8px;
        }
        .calendar-section {
            margin-bottom: 30px;
        }
        .dates-container {
            display: flex;
            overflow-x: auto;
            gap: 10px;
            padding-bottom: 10px;
            margin-bottom: 20px;
        }
        .date-card {
            min-width: 110px;
            border: 1px solid #dee2e6;
            border-radius: 8px;
            padding: 10px;
            text-align: center;
            cursor: pointer;
            transition: all 0.2s;
        }
        .date-card:hover {
            border-color: #0d6efd;
            background-color: #f8f9fa;
        }
        .date-card.selected {
            border-color: #0d6efd;
            background-color: #e6f2ff;
            box-shadow: 0 0 0 1px #0d6efd;
        }
        .date-card .month {
            font-size: 0.8rem;
            text-transform: uppercase;
            color: #6c757d;
            font-weight: 600;
        }
        .date-card .day {
            font-size: 1.5rem;
            font-weight: 700;
            line-height: 1.2;
        }
        .date-card .weekday {
            font-size: 0.8rem;
            color: #6c757d;
        }
        .time-slots {
            display: grid;
            grid-template-columns: repeat(auto-fill, minmax(150px, 1fr));
            gap: 10px;
            margin-bottom: 20px;
        }
        .time-slot {
            border: 1px solid #dee2e6;
            border-radius: 6px;
            padding: 10px;
            text-align: center;
            cursor: pointer;
            transition: all 0.2s;
        }
        .time-slot:hover {
            border-color: #0d6efd;
            background-color: #f8f9fa;
        }
        .time-slot.selected {
            border-color: #0d6efd;
            background-color: #e6f2ff;
            box-shadow: 0 0 0 1px #0d6efd;
        }
        .time-slot.unavailable {
            background-color: #f8f9fa;
            color: #adb5bd;
            cursor: not-allowed;
            text-decoration: line-through;
        }
        .form-section {
            margin-top: 30px;
            padding-top: 20px;
            border-top: 1px solid #dee2e6;
        }
        .section-title {
            margin-bottom: 20px;
            display: flex;
            align-items: center;
        }
        .section-title i {
            margin-right: 10px;
            color: #0d6efd;
        }
        .selected-date-time {
            background-color: #e8f4f8;
            border-left: 4px solid #0d6efd;
            padding: 15px;
            border-radius: 5px;
            margin-bottom: 20px;
        }
{{end}}
{{define "content"}}
    <div class="page-container">
        <!-- Logo -->
        <div class="logo-area">
            <img src="https://placehold.co/200x50/e9ecef/adb5bd?text=County+Vector+Control" alt="County Vector Control" class="logo-placeholder">
        </div>
        
        <!-- Progress Bar -->
        <div class="progress-container">
            <div class="d-flex justify-content-between mb-1">
                <span class="text-muted small">Schedule Follow-up</span>
                <span class="text-muted small">4 of 4</span>
            </div>
            <div class="progress">
                <div class="progress-bar" role="progressbar" style="width: 100%" aria-valuenow="100" aria-valuemin="0" aria-valuemax="100"></div>
            </div>
        </div>
        
        <!-- Main Content -->
        <div class="content-card">
            <h1 class="h4 mb-3">Schedule a Follow-up Inspection</h1>
            <p>Please select a convenient date and time for our inspector to visit your property.</p>
            
            <!-- Calendar Section -->
            <div class="calendar-section">
                <div class="section-title">
                    <i class="bi bi-calendar-date"></i>
                    <h5 class="mb-0">Select Date</h5>
                </div>
                
                <!-- Date Selection -->
                <div class="dates-container">
                    <div class="date-card">
                        <div class="month">Jun</div>
                        <div class="day">20</div>
                        <div class="weekday">Tue</div>
                    </div>
                    <div class="date-card">
                        <div class="month">Jun</div>
                        <div class="day">21</div>
                        <div class="weekday">Wed</div>
                    </div>
                    <div class="date-card selected">
                        <div class="month">Jun</div>
                        <div class="day">22</div>
                        <div class="weekday">Thu</div>
                    </div>
                    <div class="date-card">
                        <div class="month">Jun</div>
                        <div class="day">23</div>
                        <div class="weekday">Fri</div>
                    </div>
                    <div class="date-card">
                        <div class="month">Jun</div>
                        <div class="day">26</div>
                        <div class="weekday">Mon</div>
                    </div>
                    <div class="date-card">
                        <div class="month">Jun</div>
                        <div class="day">27</div>
                        <div class="weekday">Tue</div>
                    </div>
                    <div class="date-card">
                        <div class="month">Jun</div>
                        <div class="day">28</div>
                        <div class="weekday">Wed</div>
                    </div>
                    <div class="date-card">
                        <div class="month">Jun</div>
                        <div class="day">29</div>
                        <div class="weekday">Thu</div>
                    </div>
                    <div class="date-card">
                        <div class="month">Jun</div>
                        <div class="day">30</div>
                        <div class="weekday">Fri</div>
                    </div>
                    <div class="date-card">
                        <div class="month">Jul</div>
                        <div class="day">03</div>
                        <div class="weekday">Mon</div>
                    </div>
                </div>
                
                <!-- Time Slot Selection -->
                <div class="section-title">
                    <i class="bi bi-clock"></i>
                    <h5 class="mb-0">Select Time</h5>
                </div>
                
                <div class="time-slots">
                    <div class="time-slot unavailable">
                        8:00 AM
                    </div>
                    <div class="time-slot unavailable">
                        9:00 AM
                    </div>
                    <div class="time-slot selected">
                        10:00 AM
                    </div>
                    <div class="time-slot">
                        11:00 AM
                    </div>
                    <div class="time-slot">
                        1:00 PM
                    </div>
                    <div class="time-slot">
                        2:00 PM
                    </div>
                    <div class="time-slot">
                        3:00 PM
                    </div>
                    <div class="time-slot">
                        4:00 PM
                    </div>
                </div>
                
                <!-- Selected Date & Time Summary -->
                <div class="selected-date-time">
                    <div class="d-flex justify-content-between align-items-center">
                        <strong>Selected Appointment:</strong>
                        <span>Thursday, June 22, 2023 at 10:00 AM</span>
                    </div>
                </div>
            </div>
            
            <!-- Contact Information Form -->
            <div class="form-section">
                <div class="section-title">
                    <i class="bi bi-person-lines-fill"></i>
                    <h5 class="mb-0">Contact Information</h5>
                </div>
                
                <form>
                    <div class="row g-3">
                        <div class="col-md-6">
                            <label for="fullName" class="form-label">Full Name</label>
                            <input type="text" class="form-control" id="fullName" required>
                        </div>
                        
                        <div class="col-md-6">
                            <label for="phone" class="form-label">Phone Number</label>
                            <input type="tel" class="form-control" id="phone" placeholder="(555) 555-5555" required>
                        </div>
                        
                        <div class="col-12">
                            <label for="email" class="form-label">Email Address</label>
                            <input type="email" class="form-control" id="email" required>
                        </div>
                        
                        <div class="col-12">
                            <label for="notes" class="form-label">Additional Notes (Optional)</label>
                            <textarea class="form-control" id="notes" rows="3" placeholder="Any special instructions or information for the inspector"></textarea>
                        </div>
                        
                        <div class="col-12">
                            <div class="form-check">
                                <input class="form-check-input" type="checkbox" id="reminders" checked>
                                <label class="form-check-label" for="reminders">
                                    Send me text reminders about my appointment
                                </label>
                            </div>
                        </div>
                    </div>
                    
                    <!-- Information -->
                    <div class="alert alert-secondary mt-4">
                        <small>Our inspector will need access to view your pool area. If you won't be home during the appointment, please provide access instructions in the notes.</small>
                    </div>
                    
                    <!-- Action Buttons -->
                    <div class="d-flex justify-content-between mt-4">
                        <button type="button" class="btn btn-outline-secondary">
                            <i class="bi bi-arrow-left me-2"></i> Back
                        </button>
			<a href="{{ .NextURL }}" class="btn btn-success">
                            <i class="bi bi-calendar-check me-2"></i> Confirm Appointment
                        </a>
                    </div>
                </form>
            </div>
        </div>
        
        <!-- Help Text -->
        <div class="text-center text-muted small">
            <p>If you need assistance, please contact Vector Control at (555) 123-4567</p>
        </div>
    </div>
{{end}}