@extends('main.layouts.app')
@section('content')
    <div class="main-content">
        <section class="section">
            <div class="section-header">
                <h1><i class="fa fa-fw fa-life-ring"></i> Feedback</h1>
            </div>
            <div class="section-body">
                <div class="row">
                    <div class="col-md-4">
                        <div class="card">
                            <div class="card-header">
                                <h4>Contact Us</h4>
                            </div>
                            <div class="card-body">
                                <div class="chocolat-parent">
                                    <div>
                                        mywealthfree.com
                                        {{-- <img alt="image" src="../assets/image/logo_defaultimage.png"
                                            class="img-fluid author-box-picture"> --}}
                                    </div>
                                </div>
                                <div class="mb-2 text-muted"></div>
                            </div>
                        </div>
                    </div>
                    <div class="col-md-8">
                        <div class="card">
                            <form method="post" action="index.php" enctype="multipart/form-data" id="fbackform">
                                <input type="hidden" name="hal" value="feedback">
                                <div class="card-header">
                                    <h4>Feedback Form</h4>
                                </div>
                                <div class="card-body">
                                    <div class="tab-content no-padding" id="myTab2Content">
                                        <div class="tab-pane fade show active">
                                            <p class="text-muted">Use the following form for any questions, support request,
                                                or feature suggestion.</p>
                                            <div class="form-group">
                                                <label for="fsubject">Subject</label>
                                                <input type="text" name="fsubject" id="fsubject" class="form-control"
                                                    value placeholder="Subject of the message" required>
                                            </div>
                                            <div class="form-group">
                                                <label for="fmessage">Message</label>
                                                <textarea class="form-control rowsize-md" name="fmessage" id="fmessage"
                                                    placeholder="Questions, support request, or feature suggestion" required></textarea>
                                            </div>
                                            <div class="form-group">
                                                <label for="fattfile">Attachment (archive: zip or rar, or image: gif, jpg,
                                                    png)</label>
                                                <input type="file" name="fattfile" id="uploadImgFile"
                                                    class="form-control">
                                                <div class="form-text text-muted">The file must have a maximum size of 1Mb
                                                </div>
                                            </div>
                                        </div>
                                        <div class="form-group">
                                            <label for="selectgroup-pills">Message Type</label>
                                            <div class="selectgroup selectgroup-pills">
                                                <label class="selectgroup-item">
                                                    <input type="radio" name="fmsgtype" value="0"
                                                        class="selectgroup-input">
                                                    <span class="selectgroup-button selectgroup-button-icon"><i
                                                            class="fas fa-fw fa-question-circle"></i> General
                                                        Question</span>
                                                </label>
                                                <label class="selectgroup-item">
                                                    <input type="radio" name="fmsgtype" value="1"
                                                        class="selectgroup-input">
                                                    <span class="selectgroup-button selectgroup-button-icon"><i
                                                            class="fas fa-fw fa-hands-helping"></i> Support Request</span>
                                                </label>
                                                <label class="selectgroup-item">
                                                    <input type="radio" name="fmsgtype" value="2"
                                                        class="selectgroup-input">
                                                    <span class="selectgroup-button selectgroup-button-icon"><i
                                                            class="fas fa-fw fa-comment-medical"></i> Feedback or
                                                        Suggestion</span>
                                                </label>
                                            </div>
                                        </div>
                                    </div>
                                </div>
                                <div class="card-footer bg-whitesmoke text-md-right">
                                    <button type="reset" name="reset" value="reset" id="reset"
                                        class="btn btn-warning">
                                        <i class="fa fa-fw fa-undo"></i> Reset </button>
                                    <button type="submit" name="submit" value="submit" id="submit"
                                        class="btn btn-primary">
                                        <i class="fa fa-fw fa-check"></i> Send Message </button>
                                    <input type="hidden" name="dosubmit" value="1">
                                    <input type="hidden" name="txid" value>
                                    <input type="hidden" name="sb_label" value>
                                    <input type="hidden" name="dumbtoken"
                                        value="d6de85adb502caf1a81225bac333827964d2b75f1955d904">
                                </div>
                            </form>
                        </div>
                    </div>
                </div>
            </div>
    </div>
    </section>
    </div>

    <div class="modal fade" id="myModal" role="dialog" aria-labelledby="...">
        <div class="modal-dialog modal-lg modal-dialog-centered" role="document">

            <div class="modal-content">
                <div class="modal-header">
                    <h5 class="modal-title" id="exampleModalLabel">New message</h5>
                    <button type="button" class="close" data-dismiss="modal"><span
                            aria-hidden="true">&times;</span></button>
                </div>
                <div class="modal-body">
                </div>
            </div>
        </div>
    </div>
@endsection