{{ Form::hidden('serial_scy',$serial_scy,array('id' => 'serial_scy','class' => 'family-data')) }}
@foreach($serial_std as $std)
    {{ Form::hidden('serial_std[]',$std,array('id' => 'serial_std_'.$std,'class' => 'family-data')) }}
@endforeach
{{ Form::hidden('serial_ech',$infoEconomicHelp['serial_ech'],array('id' => 'serial_ech','class' => 'family-data')) }}
{{ Form::token() }}
<div class="text-center"><h3>Información Familiar</h3></div>
<div class="panel-group col-md-offset-2 col-md-9" id="accordion-guardians" role="tablist" aria-multiselectable="true">
    @foreach($guardians as $guardian)
    <div class="panel panel-default">
        <div class="panel-heading" role="tab" id="heading{{$guardian->serial_usr}}">
            <h4 class="panel-title">
                <a data-toggle="collapse" data-parent="#accordion-guardians" href="#collapse{{$guardian->serial_usr}}"
                   aria-expanded="true"
                   aria-controls="collapse{{$guardian->serial_usr}}">
                    <div>
                        <b>Datos de {{$guardian->relationship_stg == 'FATHER' ? 'padre':'madre'}}</b>
                        <i class="indicator glyphicon  pull-right glyphicon-plus"></i>
                    </div>
                </a>
            </h4>
        </div>
<div id="collapse{{$guardian->serial_usr}}" class="panel-collapse collapse" role="tabpanel"
     aria-labelledby="heading{{$guardian->serial_usr}}">
    <div class="panel-body" id="origen_{{$guardian->serial_usr}}">
<div class="panel panel-primary">
    <div class="panel-heading">Datos personales</div>
    <div class="panel-body">
        {{ Form::hidden($guardian->serial_usr.'[serial_grd]',$guardian->serial_grd,array('id' => 'serial_grd'.$guardian->serial_usr,'class' => 'family-data')) }}
        <input class="family-data" type="text" id="serial_grd{{$guardian->serial_usr}}" name="{{$guardian->serial_usr.'[serial_asgu]'}}"
               hidden="">
        <div class="row">
            <div class="form-group col-md-4">
                {{Form::label('first_name_grd'.$guardian->serial_usr, 'Nombres')}} <span style="color: red">*</span>
                {{Form::text($guardian->serial_usr.'[first_name_grd]', $guardian->first_name_grd, ['id' => 'first_name_grd'.$guardian->serial_usr, 'class' => 'form-control family-data first_name_grd'])}}
            </div>
            <div class="form-group col-md-4">
                {{Form::label('last_name_grd'.$guardian->serial_usr, 'Apellidos')}} <span style="color: red">*</span>
                {{Form::text($guardian->serial_usr.'[last_name_grd]', $guardian->first_name_grd, ['id' => 'last_name_grd'.$guardian->serial_usr, 'class' => 'form-control family-data last_name_grd'])}}
            </div>
            <div class="form-group col-md-4">
                {{Form::label('birthdate_grd'.$guardian->serial_usr, 'Edad')}}<span style="color: red">*</span>
                {{Form::text($guardian->serial_usr.'[birthdate_grd]', $guardian->birthdate_grd, ['id' => 'birthdate_grd'.$guardian->serial_usr, 'class' => 'form-control family-data birthdate_grd'])}}
            </div>
        </div>
        <div class="row">
            <div class="form-group col-md-4">
                {{Form::label('marital_status_grd'.$guardian->serial_usr, 'Estado Civil')}}<span style="color: red">*</span>
                <select class="form-control family-data" id="maritalStatus{{$guardian->serial_usr}}"
                        name="{{$guardian->serial_usr.'[marital_status_grd]'}}"
                >
                    <option value="MARRIED" {{$guardian->marital_status_grd == 'MARRIED' ? 'selected':''}}>Casado</option>
                    <option value="SINGLE" {{$guardian->marital_status_grd == 'SINGLE' ? 'selected':''}}>Soltero</option>
                    <option value="DIVORCED" {{$guardian->marital_status_grd == 'DIVORCED' ? 'selected':''}}>Divorciado</option>
                    <option value="WIDOWED" {{$guardian->marital_status_grd == 'WIDOWED' ? 'selected':''}}>Viudo</option>
                    <option value="FREE UNION" {{$guardian->marital_status_grd == 'FREE UNION' ? 'selected':''}}>Uni&oacute;n libre</option>
                </select>
            </div>
            <div class="form-group col-md-4">
                {{Form::label('id_grd'.$guardian->serial_usr, 'Cédula de Identidad')}}<span style="color: red">*</span>
                {{Form::text($guardian->serial_usr.'[id_grd]', $guardian->id_grd, ['id' => 'id_grd'.$guardian->serial_usr, 'class' => 'form-control family-data id_grd'])}}
            </div>
            <div class="form-group col-md-4">
                {{Form::label('serial_ocg', 'Profesión')}}<span style="color: red">*</span>
                <select class="form-control family-data" id="serial_ocg{{$guardian->serial_usr}}"
                        name="{{$guardian->serial_usr.'[serial_ocg]'}}"
                >
                    @foreach($occupation as $ocg)
                        <option value="{{$ocg->serial_ocg}}" {{$guardian->serial_ocg == $ocg->serial_ocg ? 'selected':''}}>{{$ocg->name_ocg}}</option>
                    @endforeach
                </select>
            </div>
        </div>
        <div class="row">
            <div class="form-group col-md-4">
                {{Form::label('serial_elg'.$guardian->serial_usr, 'Nivel de estudios')}}<span style="color: red">*</span>
                <select class="form-control family-data" id="serial_elg{{$guardian->serial_usr}}"
                        name="{{$guardian->serial_usr.'[serial_elg]'}}"
                >
                    <option value="1" {{$guardian->serial_elg == '1' ? 'selected':''}}>NINGUNO</option>
                    <option value="2" {{$guardian->serial_elg == '2' ? 'selected':''}}>BÁSICA</option>
                    <option value="3" {{$guardian->serial_elg == '3' ? 'selected':''}}>BACHILLERATO</option>
                    <option value="4" {{$guardian->serial_elg == '4' ? 'selected':''}}>TERCER NIVEL</option>
                    <option value="5" {{$guardian->serial_elg == '5' ? 'selected':''}}>CUARTO NIVEL</option>
                </select>
            </div>
            <div class="form-group col-md-4">
                {{Form::label('ci', 'Ocupación')}}<span style="color: red">*</span>
                {{Form::text('[ci]', null, ['id' => 'ci', 'class' => 'form-control ci'])}}
            </div>
            <div class="form-group col-md-4">
            </div>
        </div>
        <div class="row">
            <div class="form-group col-md-4">
                {{Form::label('email_grd'.$guardian->serial_usr, 'E-mail')}} <span style="color: red">*</span>
                {{Form::text($guardian->serial_usr.'[email_grd]',$guardian->email_grd, ['id' => 'email_grd'.$guardian->serial_usr, 'class' => 'form-control family-data email_grd'])}}
            </div>
            <div class="form-group col-md-4">
                {{Form::label('last_name_asgu', 'Número de hijos en total')}} <span style="color: red">*</span>
                {{Form::text('[last_name_asgu]', null, ['id' => 'last_name_asgu', 'class' => 'form-control last_name_asgu'])}}
            </div>
            <div class="form-group col-md-4">
                {{Form::label('birth_date', 'Menores de edad')}}<span style="color: red">*</span>
                {{Form::text('[birth_date]', null, ['id' => 'birth_date', 'class' => 'form-control ci'])}}
            </div>
        </div>
        <div class="row">
            <div class="form-group col-md-4">
                {{Form::label('company_name_grd'.$guardian->serial_usr, 'Lugar de trabajo')}} <span style="color: red">*</span>
                {{Form::text($guardian->serial_usr.'[company_name_grd]', $guardian->company_name_grd, ['id' => 'company_name_grd'.$guardian->serial_usr, 'class' => 'form-control family-data company_name_grd'])}}
            </div>
            <div class="form-group col-md-4">
                {{Form::label('role_in_company_grd'.$guardian->serial_usr, 'Cargo que ocupa')}} <span style="color: red">*</span>
                {{Form::text($guardian->serial_usr.'[role_in_company_grd]', $guardian->role_in_company_grd, ['id' => 'role_in_company_grd'.$guardian->serial_usr, 'class' => 'form-control family-data role_in_company_grd'])}}
            </div>
            <div class="form-group col-md-4">
                {{Form::label('birth_date', 'Tiempo de trabajo en la empresa')}}<span style="color: red">*</span>
                {{Form::text('[birth_date]', null, ['id' => 'birth_date', 'class' => 'form-control ci'])}}
            </div>
        </div>
        <div class="row">
            <div class="form-group col-md-12">
                {{Form::label('address', 'Dirección domicilio',['class' => 'text-muted'])}}
            </div>
        </div>
        <div class="row">
            @foreach($guardian->address as $address)
                @if($address->address_type_gda == 'HOME')
                    <div class="form-group col-md-4">
                        {{Form::label('main_street_gda'.$guardian->serial_usr, 'Calle Principal')}}<span style="color: red">*</span>
                        {{Form::text($guardian->serial_usr.'[homeAddress][occupation]', $address->main_street_gda, ['id' => 'main_street_gda'.$guardian->serial_usr, 'class' => 'form-control family-data ci'])}}
                    </div>
                    <div class="form-group col-md-4">
                        {{Form::label('number_gda'.$guardian->serial_usr, 'Número')}}<span style="color: red">*</span>
                        {{Form::text($guardian->serial_usr.'[homeAddress][number_gda]', $address->number_gda, ['id' => 'number_gda'.$guardian->serial_usr, 'class' => 'form-control family-data ci'])}}
                    </div>
                    <div class="form-group col-md-4">
                        {{Form::label('secondary_street_gda'.$guardian->serial_usr, 'Calle secundaria')}}<span style="color: red">*</span>
                        {{Form::text($guardian->serial_usr.'[homeAddress][secondary_street_gda]', $address->secondary_street_gda, ['id' => 'secondary_street_gda'.$guardian->serial_usr, 'class' => 'form-control family-data ci'])}}
                    </div>
                    <div class="form-group col-md-4">
                        {{Form::label('phone1_gda'.$guardian->serial_usr, 'Teléfono')}}<span style="color: red">*</span>
                        {{Form::text($guardian->serial_usr.'[homeAddress][phone1_gda]', $address->phone1_gda, ['id' => 'phone1_gda'.$guardian->serial_usr, 'class' => 'form-control family-data ci'])}}
                    </div>
                @endif
            @endforeach
        </div>
        <div class="row">
            <div class="form-group col-md-12">
                {{Form::label('addressWork', 'Dirección tabajo',['class' => 'text-muted'])}}
            </div>
        </div>
        <div class="row">
            @foreach($guardian->address as $address)
                @if($address->address_type_gda == 'WORK')
                    <div class="form-group col-md-4">
                        {{Form::label('main_street_gda'.$guardian->serial_usr, 'Calle Principal')}}<span style="color: red">*</span>
                        {{Form::text($guardian->serial_usr.'[workAddress][occupation]', $address->main_street_gda, ['id' => 'main_street_gda'.$guardian->serial_usr, 'class' => 'form-control family-data ci'])}}
                    </div>
                    <div class="form-group col-md-4">
                        {{Form::label('number_gda'.$guardian->serial_usr, 'Número')}}<span style="color: red">*</span>
                        {{Form::text($guardian->serial_usr.'[workAddress][number_gda]', $address->number_gda, ['id' => 'number_gda'.$guardian->serial_usr, 'class' => 'form-control family-data ci'])}}
                    </div>
                    <div class="form-group col-md-4">
                        {{Form::label('secondary_street_gda'.$guardian->serial_usr, 'Calle secundaria')}}<span style="color: red">*</span>
                        {{Form::text($guardian->serial_usr.'[workAddress][secondary_street_gda]', $address->secondary_street_gda, ['id' => 'secondary_street_gda'.$guardian->serial_usr, 'class' => 'form-control family-data ci'])}}
                    </div>
                    <div class="form-group col-md-4">
                        {{Form::label('phone1_gda'.$guardian->serial_usr, 'Teléfono')}}<span style="color: red">*</span>
                        {{Form::text($guardian->serial_usr.'[workAddress][phone1_gda]', $address->phone1_gda, ['id' => 'phone1_gda'.$guardian->serial_usr, 'class' => 'form-control family-data ci'])}}
                    </div>
                @endif
            @endforeach
        </div>
    </div>
</div>
</div>
</div>
</div>
        @endforeach
</div>
<div class="panel-group col-md-offset-2 col-md-9" id="accordion-other-information" role="tablist" aria-multiselectable="true">
    <div class="panel panel-default">
        <div class="panel-heading" role="tab" id="headingDisability">
            <h4 class="panel-title">
                <a data-toggle="collapse" data-parent="#accordion-guardians" href="#collapseDisability"
                       aria-expanded="true"
                       aria-controls="collapseDisability">
                    <div>
                        <b>Datos de adicionales</b>
                        <i class="indicator glyphicon  pull-right glyphicon-plus"></i>
                    </div>
                </a>
            </h4>
        </div>
        <div id="collapseDisability" class="panel-collapse collapse" role="tabpanel"
                 aria-labelledby="headingDisability">
            <div class="panel-body" id="origen_Disability">
                <div class="panel panel-primary">
                    <div class="form-horizontal">
                        <div class="form-group">
                            <div class="col-md-offset-1 col-md-6">
                                <label><strong>Tiene usted hijos universitarios? </strong></label><br>
                                <div class="custom-control custom-radio">
                                    <input type="radio" class="custom-control-input university-ech family-data" id="son_uni_1" radioOption="option" name="have_university_sons_ech" value="YES"
                                            {{$infoEconomicHelp['have_university_sons_ech'] == 'YES' ? 'checked':''}}>
                                    <label class="custom-control-label text-muted" for="son_uni_1">Si</label>
                                </div>
                                <div class="custom-control custom-radio">
                                    <input type="radio" class="custom-control-input university-ech family-data" id="son_uni_2" radioOption="option" name="have_university_sons_ech" value="NO"
                                            {{$infoEconomicHelp['have_university_sons_ech'] == 'NO' ? 'checked':''}}>
                                    <label class="custom-control-label text-muted" for="son_uni_2">No</label>
                                </div>
                            </div>
                        </div>

                    </div>
                    <div class="form-horizontal" id="show-text-university" hidden>
                        <div class="form-group">
                            <div class="col-md-offset-1 col-md-6">
                                <label><strong>Indique a la universidad a la que asisten </strong></label><br>
                                <div class="custom-control">
                                    {{Form::text('university_assistance_sons_ech', $infoEconomicHelp['university_assistance_sons_ech'], ['id' => 'university_assistance_sons_ech', 'class' => 'form-control family-data last'])}}
                                </div>
                            </div>
                        </div>
                    </div>
                <div class="form-horizontal">
                    <div class="form-group">
                        <div class="col-md-offset-1 col-md-6">
                            <label><strong>¿Existe otro familiar o persona que aporte a la economía del hogar? </strong></label><br>
                            <div class="custom-control custom-radio">
                                <input type="radio" class="custom-control-input family-ech family-data" id="family_ech_1" radioOption="option" name="other_person_aport_ech" value="YES"
                                        {{$infoEconomicHelp['other_person_aport_ech'] == 'YES' ? 'checked':''}}>
                                    <label class="custom-control-label text-muted" for="family_ech_1">Si</label>
                                </div>
                            <div class="custom-control custom-radio">
                                <input type="radio" class="custom-control-input family-ech family-data" id="family_ech_2" radioOption="option" name="other_person_aport_ech" value="NO"
                                        {{$infoEconomicHelp['other_person_aport_ech'] == 'NO' ? 'checked':''}}>
                                <label class="custom-control-label text-muted" for="family_ech_2">No</label>
                            </div>
                        </div>
                        <div class="col-md-4" id="show-other-family" hidden>
                            <label><strong>Especifique </strong></label><br>
                                <div class="custom-control">
                                    {{Form::text('[last]', null, ['id' => 'last', 'class' => 'form-control last'])}}
                                </div>
                        </div>
                    </div>
                </div>
                <div class="form-horizontal">
                    <div class="form-group">
                        <div class="col-md-offset-1 col-md-6">
                            <label><strong>Cuántos viajes al extranjero ha realizado en el último año? </strong></label><br>
                            <div class="custom-control">
                                <select class="form-control family-data" id="travel-year" name="travel_last_year_ech">
                                    <option value="0" {{$infoEconomicHelp['travel_last_year_ech'] == '0' ? 'selected':''}}>0</option>
                                    <option value="1" {{$infoEconomicHelp['travel_last_year_ech'] == '1' ? 'selected':''}}>1</option>
                                    <option value="2" {{$infoEconomicHelp['travel_last_year_ech'] == '2' ? 'selected':''}}>2</option>
                                    <option value="3" {{$infoEconomicHelp['travel_last_year_ech'] == '3' ? 'selected':''}}>3</option>
                                    <option value="4" {{$infoEconomicHelp['travel_last_year_ech'] == '4' ? 'selected':''}}>4</option>
                                </select>
                            </div>
                        </div>
                    </div>
                </div>
                <div class="form-horizontal">
                    <div class="form-group">
                        <div class="col-md-offset-1 col-md-6">
                            <label><strong>Algún mienbro de su familia tiene una enfermedad grave o discapacidad? *</strong></label><br>
                            <div class="custom-control custom-radio">
                                <input type="radio" class="custom-control-input disability-ech family-data" id="disability_ech_1" radioOption="option" name="family_disability_ech" value="YES"
                                        {{$infoEconomicHelp['family_disability_ech'] == 'YES' ? 'checked':''}}>
                                <label class="custom-control-label text-muted" for="disability_ech_1">Si</label>
                            </div>
                            <div class="custom-control custom-radio">
                                <input type="radio" class="custom-control-input disability-ech family-data" id="disability_ech_2" radioOption="option" name="family_disability_ech" value="NO"
                                        {{$infoEconomicHelp['family_disability_ech'] == 'NO' ? 'checked':''}}>
                                <label class="custom-control-label text-muted" for="disability_ech_2">No</label>
                            </div>
                        </div>
                    </div>
                </div>
                <div class="form-horizontal" id="show-disability-data" hidden>
                    <div class="form-group">
                        <div class="col-md-offset-1 col-md-6">
                            <label><strong>Relación de parentesco? </strong></label><br>
                            <div class="custom-control">
                                {{Form::text('relationship_ech', $infoEconomicHelp['relationship_ech'], ['id' => 'relationship_ech', 'class' => 'form-control family-data last'])}}
                            </div>
                        </div>
                    </div>
                    <div class="form-group">
                        <div class="col-md-offset-1 col-md-6">
                            <label><strong>En caso afirmativo ¿Cuánto gastan mensualmente en el tratamiento? (Anexar comprobante)</strong></label><br>
                            <div class="custom-control">
                                {{Form::text('treatment_cost_family_ech', $infoEconomicHelp['treatment_cost_family_ech'], ['id' => 'treatment_cost_family_ech', 'class' => 'form-control family-data name'])}}
                            </div>
                        </div>
                    </div>
                </div>
            </div>
            </div>
        </div>
    </div>
</div>
<div class="text-center">
    <div class="form-horizontal">
        <div class="form-group">
            <div class="col-md-3  col-md-offset-4">
                <button class="btn btn-warning col-md-6" type="button" id="btn-back-reason-form">Atrás</button>
            </div>
            <div class="col-md-3">
                <button class="btn btn-success col-md-6" type="button" id="btn-expenses-form">Siguiente</button>
            </div>
        </div>
    </div>
</div>
{{HTML::script('js/economicHelp/load/familyDataForm.js')}}