<?php 
	session_start();
	$SESSION_PAGE = "questionnaire";
	$_SESSION['last_page'] = $SESSION_PAGE;
	$body_id = 'quest';  
	$title = 'Confidential Questionnaire'; 
	require_once('binx/includes/odds/header.php');
	require_once('binx/php/functions.php');
	require_once('binx/php/global_arrays.php');
	
	$PRESONAL_INFO_QRY = $db->query("SELECT * FROM Members WHERE username = '$USERNAME' AND username != ''");
	$PIR = $PRESONAL_INFO_QRY[0];
	
	$BENEFICIARY_QRY = $db->query("SELECT * FROM Recipients WHERE username = '$USERNAME' AND ( relationship = 'Daughter' OR relationship = 'Father' OR relationship = 'Son' OR relationship = 'Mother' OR relationship = 'Foster Child' OR relationship = 'Foster Parent' OR relationship = 'Step Mother' OR relationship = 'Step Father' OR relationship = 'Step Son' OR relationship = 'Step Daughter' ) AND username != ''");
	
	$ASSETS_QRY = $db->query("SELECT * FROM Assets WHERE username = '$USERNAME' AND username != ''");
	$ASSETS = $ASSETS_QRY[0];
?>
<script type="text/javascript" src="https://ajax.googleapis.com/ajax/libs/jquery/1.6.0/jquery.min.js"></script> 
<script language="javascript" type="text/javascript" src="../inc/script.js"></script>
<script>

	function numbers_only(evt) 
	{
		var charCode = (evt.which) ? evt.which : event.keyCode;
		//alert(charCode);
		if (evt.shiftKey)
		{
			return false;	
		}
		if(charCode == 16)
		{
			return false;	
		}
		if (charCode > 9 && (charCode < 48 || charCode > 57) && charCode != 46 && charCode != 37 && charCode != 39)
		{
			if(charCode <= 105 && charCode >= 96 && charCode != 16)
			{
				return true;
			}
			else
			{
				return false;
			}
		}
		else
		{
			return true;
		}
	}
	function submit_questionnaire()
	{
		if($('#id-client-your-signature-').val() == "")
		{
			alert("Please sign the questionnaire.");
		}
		else
		{
			if($('#id-spouse-first-name-').val() != "")
			{
				if($('#id-client-spouse-signature-').val() == "")
				{
					alert("The spouse must sign the questionnaire.");
				}
				else
				{
					save_document();
					var str = "";
					var elem = document.getElementById('dform').elements;
			
					var q1 = $("input:radio[name='client_q1']:checked").val();				str += "&client_q1="+q1;
					var q1a = $("input:radio[name='client_q1a']:checked").val();			str += "&client_q1a="+q1a;	
					var q2 = $("input:radio[name='client_q2']:checked").val();				str += "&client_q2="+q2;	
					var q3 = $("input:radio[name='client_q3']:checked").val();				str += "&client_q3="+q3;
					var q4 = $("input:radio[name='client_q4']:checked").val();				str += "&client_q4="+q4;
					var q4a = $("input:radio[name='client_q4a']:checked").val();			str += "&client_q4a="+q4a;	
					var q5 = $("input:radio[name='client_q5']:checked").val();				str += "&client_q5="+q5;
					var q5a = $("input:radio[name='client_q6']:checked").val();				str += "&client_q6="+q5a;
					var q5aa = $("input:radio[name='client_q6a']:checked").val();			str += "&client_q6a="+q5aa;
			
					for(var i = 0; i < elem.length; i++)
					{
						if(elem[i].type != "radio")
						{
							str += "&"+elem[i].name;
							str += "="+elem[i].value;
						}
					} 
					$('html,body').animate({
					opacity: 0.8
					}, 1000);
					//alert(str);
					$('.ui-save-block').fadeIn(500);
					$('html.body.ui-save-block').css('opacity', '1');	
					$('.ui-save-block').find('h1').text("SENDING...");
					$.ajax({
					cache: false,
					type: "POST",
					data: str,
					url: "../confidential_questionnaire_save_n_send.php",
						success: function(msg)
						{
							//window.location = "confidential_questionnaire.php";
							$("#questionnaire").html(msg);
							$('html,body').animate({
							scrollTop: 0
							}, 1000, function(){
								$("#questionnaire").hide().fadeIn(800);
								$('html,body').animate({
								opacity: 1
								}, 1000);
								$('.ui-save-block').fadeOut(500);					
							});
			
						}
					});
				}
			}
			else
			{		
				save_document();
				var str = "";
				var elem = document.getElementById('dform').elements;
		
				var q1 = $("input:radio[name='client_q1']:checked").val();				str += "&client_q1="+q1;
				var q1a = $("input:radio[name='client_q1a']:checked").val();			str += "&client_q1a="+q1a;	
				var q2 = $("input:radio[name='client_q2']:checked").val();				str += "&client_q2="+q2;	
				var q3 = $("input:radio[name='client_q3']:checked").val();				str += "&client_q3="+q3;
				var q4 = $("input:radio[name='client_q4']:checked").val();				str += "&client_q4="+q4;
				var q4a = $("input:radio[name='client_q4a']:checked").val();			str += "&client_q4a="+q4a;	
				var q5 = $("input:radio[name='client_q5']:checked").val();				str += "&client_q5="+q5;
				var q5a = $("input:radio[name='client_q6']:checked").val();				str += "&client_q6="+q5a;
				var q5aa = $("input:radio[name='client_q6a']:checked").val();			str += "&client_q6a="+q5aa;
		
				for(var i = 0; i < elem.length; i++)
				{
					if(elem[i].type != "radio")
					{
						str += "&"+elem[i].name;
						str += "="+elem[i].value;
					}
				} 
				$('html,body').animate({
				opacity: 0.8
				}, 1000);
				//alert(str);
				$('.ui-save-block').fadeIn(500);
				$('html.body.ui-save-block').css('opacity', '1');	
				$('.ui-save-block').find('h1').text("SENDING...");
				$.ajax({
				cache: false,
				type: "POST",
				data: str,
				url: "../confidential_questionnaire_save_n_send.php",
					success: function(msg)
					{
						//window.location = "confidential_questionnaire.php";
						$("#questionnaire").html(msg);
						$('html,body').animate({
						scrollTop: 0
						}, 1000, function(){
							$("#questionnaire").hide().fadeIn(800);
							$('html,body').animate({
							opacity: 1
							}, 1000);
							$('.ui-save-block').fadeOut(500);					
						});
		
					}
				});
			}
		}
	} 
	function clearborder() 
	{
		document.getElementById('applicant').className='border_white';
		document.getElementById('assets').className='border_white';
		document.getElementById('calculate').className='border_white';
		document.getElementById('signature').className='border_white';
	}
	function redborder(id) 
	{
		clearborder();
		document.getElementById(id).className='border_error';
	}

	$(document).ready(function(e) {
		calc_networth();
		calc_insurance();
	});
	
	function check_field(name)
	{
		var output = "";;
		output = $('#id-'+name).val();
		var s_name = name;
		if(s_name.indexOf("phone") != -1)
		{
			output = output.replace("-", "");
			output = output.replace("(", "");
			output = output.replace(")", "");
			output = output.replace(".", "");
			output = output.replace("+", "");
			output = output.replace("*", "");
		}
		if(output != ''){$('#id-'+name).removeClass('empty-data'); }
		else{ $('#id-'+name).addClass('empty-data'); }
		return output;
	}
	function success_result()
	{
		//alert("Saved");
	}
	function failed_result()
	{
		//alert("Failed");
	}
	function save_personal_info()
	{
		var str = "dummy=dummy";
		var cfn = check_field('client-first-name-');				str += "&cfn="+cfn;
		var cmn = $('#id-client-middle-name-').val();				str += "&cmn="+cmn;
		var cln = check_field('client-last-name-');					str += "&cln="+cln;
		var cocc = check_field('client-occupation-');				str += "&cocc="+cocc;
		var cby = check_field('client-birth-year-');				str += "&cby="+cby;

		var sfn = $('#id-spouse-first-name-').val();				str += "&sfn="+sfn;
		var smn = $('#id-spouse-middle-name-').val();				str += "&smn="+smn;
		var sln = $('#id-spouse-last-name-').val();					str += "&sln="+sln;
		var socc = $('#id-spouse-occupation-').val();				str += "&socc="+socc;
		var sby = $('#id-spouse-birth-year-').val();				str += "&sby="+sby;
		
		var smdn = $('#id-spouse-maiden-name-').val();				str += "&smdn="+smdn;
		var ipm = $('#id-prior-marraige').val();					str += "&ipm="+ipm;
		var ipmhm = $('#id-spouse-how-many-').val();				str += "&ipmhm="+ipmhm;
		
		var cpp = check_field('client-primary-phone-');				str += "&cpp="+cpp;
		var cmp = $('#id-client-mobile-phone-').val();				str += "&cmp="+cmp;
		var cop = $('#id-client-office-phone-').val();				str += "&cop="+cop;
		var cfxn = $('#id-client-fax-number-').val();				str += "&cfxn="+cfxn;
		
		var csa = check_field('client-street-address-');			str += "&csa="+csa;
		var cct = check_field('client-city-');						str += "&cct="+cct;
		var ccy = $('#id-client-county-').val();					str += "&ccy="+ccy;
		var ccs = check_field('client-state-');						str += "&ccs="+ccs;
		var ccz = check_field('client-zip-');						str += "&ccz="+ccz;
		var cce = check_field('client-email-');						str += "&cce="+cce;

		var adt = $('#id-additional-details').val();				str += "&adt="+adt;
		
		var cys = check_field('client-your-signature-');			str += "&cys="+cys;
		var css = check_field('client-spouse-signature-');			str += "&css="+css;

		$.ajax
		({
			cache: false,
			type: "POST",
			dataType: "json",
			data: str,
			url: "binx/ajax/update-personal-user-info.php",
			success: function(msg)
			{
				//alert(msg.message);
				if(msg.message == "Success")
				{
					success_result();
				}
				else
				{
					failed_result();
				}
			},error: function()
			{
				alert('Error save_personal_info');
			}
		});	
	}
	function save_asset_questions()
	{
		var str = "username="+$('#id-client-email-').val();
		var q1 = $("input:radio[name='client_q1']:checked").val();				str += "&q1="+q1;
		var q1a = $("input:radio[name='client_q1a']:checked").val();			str += "&q1a="+q1a;	
		var q2 = $("input:radio[name='client_q2']:checked").val();				str += "&q2="+q2;	
		var q2_explain = $("#id-client-please-explain-q2--").val();				str += "&q2_explain="+q2_explain;
		
		var q3 = $("input:radio[name='client_q3']:checked").val();				str += "&q3="+q3;
		var q3_explain = $("#id-client-please-explain-q3--").val();				str += "&q3_explain="+q3_explain;
		
		var q4 = $("input:radio[name='client_q4']:checked").val();				str += "&q4="+q4;
		var q4a = $("input:radio[name='client_q4a']:checked").val();			str += "&q4a="+q4a;
		var q4_explain = $("#id-client-please-explain-q4--").val();				str += "&q4_explain="+q4_explain;
			
		var q5 = $("input:radio[name='client_q5']:checked").val();				str += "&q5="+q5;
		var q5_explain = $("#id-client-please-explain-q5--").val();				str += "&q5_explain="+q5_explain;
		var q5a = $("input:radio[name='client_q6']:checked").val();				str += "&q5a="+q5a;
		var q5aa = $("input:radio[name='client_q6a']:checked").val();			str += "&q5aa="+q5aa;
		var q5aa_explain = $("#id-client-please-explain-q6a--").val();			str += "&q5aa_explain="+q5aa_explain;
		var q5aa_when = $("#id-client-please-explain-q6b--").val();				str += "&q5aa_when="+q5aa_when;
			
		var q6a = $("#id-client-0-1").val();				str += "&q6a="+q6a;
		var q6b = $("#id-client-0-2").val();				str += "&q6b="+q6b;
		var q6c = $("#id-client-0-3").val();				str += "&q6c="+q6c;
		var q6d = $("#id-client-0-4").val();				str += "&q6d="+q6d;
		var q6e = $("#id-client-0-5").val();				str += "&q6e="+q6e;
		var q6f = $("#id-client-0-6").val();				str += "&q6f="+q6f;
		var q6g = $("#id-client-0-7").val();				str += "&q6g="+q6g;
		var q6h = $("#id-client-0-8").val();				str += "&q6h="+q6h;	
	
		$.ajax
		({
			cache: false,
			type: "POST",
			dataType: "json",
			data: str,
			url: "binx/ajax/update-asset-question.php",
			success: function(msg)
			{
				//alert(msg.message);
				if(msg.message == "Success")
				{
					success_result();
				}
				else
				{
					failed_result();
				}
			},error: function()
			{
				alert('Error save_asset_questions');
			}
		});	
	
	}
	function save_children()
	{
		var str = "username="+$('#id-client-email-').val();
		for(var i = 1; i < 6; i++)
		{
			var bfn = $('#id-beneficiary-name-'+i).val(); 				str += "&bfn"+i+"="+bfn;
			var brl = $('#id-beneficiary-relationship-'+i).val(); 		str += "&brl"+i+"="+brl;
			var bot = $('#id-beneficiary-other-'+i).val(); 				str += "&bot"+i+"="+bot;
			var bag = $('#id-beneficiary-age-'+i).val(); 				str += "&bag"+i+"="+bag;
			var bcm = $('#id-beneficiary-comments-'+i).val(); 			str += "&bcm"+i+"="+bcm;
		}
		$.ajax
		({
			cache: false,
			type: "POST",
			dataType: "json",
			data: str,
			url: "binx/ajax/update-blueprint-beneficiary.php",
			success: function(msg)
			{
				//alert(msg.message);
				if(msg.message == "Success")
				{
					success_result();
				}
				else
				{
					failed_result();
				}
			},error: function()
			{
				alert('Error save_children');
			}
		});	
	}
	function save_blueprint_assets()
	{
		var str = "username="+$('#id-client-email-').val();
		
		for(var i = 1; i < 19; i++)
		{
			var can = $('#id-client-asset-value--'+i).closest('tr').find('td:first').find('p').text(); 			
			can = can.replace(":", "");
			str += "&can"+i+"="+can;
			var cav = $('#id-client-asset-value--'+i).val(); 			str += "&cav"+i+"="+cav;
			var cat = $('#id-client-asset-title--'+i).val(); 			str += "&cat"+i+"="+cat;
		}
		$.ajax
		({
			cache: false,
			type: "POST",
			dataType: "json",
			data: str,
			url: "binx/ajax/update-blueprint-assets.php",
			success: function(msg)
			{
				//alert(msg.message);
				if(msg.message == "Success")
				{
					success_result();
				}
				else
				{
					failed_result();
				}
			},error: function()
			{
				alert('Error save_blueprint_assets');
			}
		});
	}
	function save_blueprint_liabilities()
	{
		var str = "username="+$('#id-client-email-').val();
		
		for(var i = 1; i < 10; i++)
		{
			var cln = $('#id-client-liabilities-value--'+i).closest('tr').find('td:first').find('p').text(); 			
			cln = cln.replace(":", "");
			str += "&cln"+i+"="+cln;
			var clv = $('#id-client-liabilities-value--'+i).val(); 			str += "&clv"+i+"="+clv;
		}
		$.ajax
		({
			cache: false,
			type: "POST",
			dataType: "json",
			data: str,
			url: "binx/ajax/update-blueprint-liabilities.php",
			success: function(msg)
			{
				//alert(msg.message);
				if(msg.message == "Success")
				{
					success_result();
				}
				else
				{
					failed_result();
				}
			},error: function()
			{
				alert('Error save_blueprint_liabilities');
			}
		});
	}
	function save_document()
	{
		save_blueprint_liabilities();
		save_blueprint_assets();
		save_personal_info();
		save_children();
		save_asset_questions();
	}
	function save_user_document()
	{
		$('html,body').animate({
		opacity: 0.8
		}, 1000);
		//alert(str);
		$('.ui-save-block').fadeIn(500);
		$('html.body.ui-save-block').css('opacity', '0.5');	
		$('.ui-save-block').find('h1').text("SAVING...");
				
				save_blueprint_liabilities();
				save_blueprint_assets();
				save_personal_info();
				save_children();
				save_asset_questions();
				$('html,body').animate({
				opacity: 1
				}, 1000);
				$('.ui-save-block').fadeOut(500);					
	}
-->
</script>
<style type="text/css">
	.ui-form-element{
		margin-bottom:3px;	
	}
	.ui-questionnaire-section-form{
		background-color:#FFF;
		border:1px solid #bca6a0;		
		padding:8px;
		margin-bottom:8px;
	}
	.ui-questionnaire-section-subform{
		background:#f3f1e8;
		border:1px solid #f2e5e2;	
		padding:8px;
		margin-bottom:8px;
	}
	.content{
		margin-left:16px;	
	}
	.content_, div, h1, h2, h3{
		font-family:"Trajan", Times, serif;
		font-weight:normal;
		color:#410900;
	}
	.empty-data{
		border:1px solid #a69c97 !important;
		box-shadow: 0px 2px 5px rgba(0, 0, 0, 0.10);
		-moz-box-shadow: 0px 2px 5px rgba(0, 0, 0, 0.10);
		-webkit-box-shadow: 0px 2px 5px rgba(0, 0, 0, 0.10);	
	}
	p{
		font-size:16px !important;
		font-family:"Times New Roman", Times, serif;	
	}
	input, select{
		background-color:#FFF;
		padding:2px;
		border:1px solid #b7ada8 !important;	
	}
	.ui-radio{
		margin-right:-1px;	
		cursor:pointer;
	}
	td{
		vertical-align:top;	
	}
	#id-tub-selects p{
	 position:relative; 
	 top:-14px;
	 margin-bottom:-14px;
	}
	th{
		font-family:"Trajan", Times, serif;
		font-weight:normal;
		color:#410900;
		border:1px solid #b7ada8 !important;	
		background: rgb(243,241,232); /* Old browsers */
		background: -moz-linear-gradient(top,  rgba(243,241,232,1) 0%, rgba(231,228,214,1) 100%); /* FF3.6+ */
		background: -webkit-gradient(linear, left top, left bottom, color-stop(0%,rgba(243,241,232,1)), color-stop(100%,rgba(231,228,214,1))); /* Chrome,Safari4+ */
		background: -webkit-linear-gradient(top,  rgba(243,241,232,1) 0%,rgba(231,228,214,1) 100%); /* Chrome10+,Safari5.1+ */
		background: -o-linear-gradient(top,  rgba(243,241,232,1) 0%,rgba(231,228,214,1) 100%); /* Opera 11.10+ */
		background: -ms-linear-gradient(top,  rgba(243,241,232,1) 0%,rgba(231,228,214,1) 100%); /* IE10+ */
		background: linear-gradient(to bottom,  rgba(243,241,232,1) 0%,rgba(231,228,214,1) 100%); /* W3C */
		filter: progid:DXImageTransform.Microsoft.gradient( startColorstr='#f3f1e8', endColorstr='#e7e4d6',GradientType=0 ); /* IE6-9 */
		padding:6px 12px 6px 12px;
		margin-right:-1px;
	}
	#questionnaire{
		padding:24px;
		border:1px solid #000;
		display:inline-block;
		background-image:url(../images/questionnaire_feedback_bg.jpg);
		color:#ffffff !important;
		text-shadow:1px 1px 2px #0c2872;
		box-shadow:inset 0px 6px 8px rgba(0, 0, 0, 0.32);
		-moz-box-shadow:inset 0px 6px 8px rgba(0, 0, 0, 0.32);
		-webkit-box-shadow:inset 0px 6px 8px rgba(0, 0, 0, 0.32);
	}
	#questionnaire a{
		color:#ffffff !important;
		text-shadow:-1px 1px 2px #0c2872;
	}
	.ui-save-block{
		position:fixed; 
		width:100%;
		height:100%;
		top:0px; 
		left:0px; 
		z-index:100001; 
		display:none; 
		text-align:center; 
		vertical-align:middle; 
		padding:250px; 
		color:#410900 !important; 
		font-size:24px;
		text-shadow:-1px 1px 12px #ffffff;
		opacity:1;
		font-family:"Trebuchet MS", Arial, Helvetica, sans-serif;
	}
</style>
<div class="ui-save-block"><h1 style="color:#410900 !important; z-index:100003; font-family:Trebuchet MS, Arial, Helvetica, sans-serif; ">SENDING...</h1></div>
<div class="content" style="font-size:12px !important;">
<div class="content_" style="margin:0px; position:relative; left:10px;">
<center>
    <div id="questionnaire" style="display:none;">
    </div>
</center>
    <?
    $iframeQueryString = "?i=true";
    ?>

    <iframe id="questionnaireiFrame" src="/questionnaire/<?=$iframeQueryString?>" width="100%" frameborder="0" scrolling="no"
        style="overflow:hidden; overflow-y:none;"></iframe>


    <script language="javascript">
            $('iframe').load(function () {
                setTimeout(function () {
                    $('#questionnaireiFrame').height(($('#questionnaireiFrame').get(0).contentWindow.document.body.offsetHeight) + 'px');
                }, 200);
            })
    </script>
</div>
</div>
                <div class="sidebar">
                    <div class="sidebar_">
                    
                    </div>
                </div>
			<div style="clear:both"></div>
            <div style="width:100%;">
            <center> 
            <div style="display:inline-block;">
            
<?php require_once('binx/includes/odds/footer.php'); ?>
			
			</div>
			</center>
            </div>