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269 lines (236 loc) · 11.7 KB
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>LifeSource Foundation</title>
<link rel="stylesheet" href="style.css">
</head>
<body>
<video autoplay loop muted plays-inline class="backvid">
<source src="img/1videoplayback.mp4" type="video/mp4">
</video>
<div class="navbar">
<nav>
<li>
<div class="verline"></div>
</li>
<a href="index.php"><img src="img/LifeSource Foundation-1 (2).png" alt="logo" height="50px"
width="200px"></a>
<ul>
<?php session_start();
$userLoggedIn = false;
if(isset($_SESSION['logged_in'])){
$userLoggedIn = true;
$uName = $_SESSION['username'];
}
?>
<li> <a href="index.php">HOME</a> </li>
<li> <a href="about.php">ABOUT US</a></li>
<li> <a href="donorpanel.php">INFORMATION</a> </li>
<li> <a href="donationform.php">DONATE BLOOD</a> </li>
<li> <a href="recieveform.php">RECIEVE BLOOD</a> </li>
<li>
<p class="undersquare">________</p>
</li>
<li id="signUp">
<a href="SignUp.php">SIGN UP
<?php
if($userLoggedIn){
echo "
<script language=javascript>
var signUp = document.getElementById('signUp');
signUp.style.visibility = 'hidden';
</script>
";
}else{
echo "
<script language=javascript>
var signUp = document.getElementById('signUp');
signUp.style.visibility = 'visible';
</script>
";
}
?>
</a>
</li>
<li id="login">
<a href="Login.php">LOGIN
<?php
if($userLoggedIn){
echo "
<script language=javascript>
var login = document.getElementById('login');
login.style.visibility = 'hidden';
</script>
";
}else{
echo "
<script language=javascript>
var login = document.getElementById('login');
login.style.visibility = 'visible';
</script>
";
}
?>
</a>
</li>
<li id="UserName" onclick="profileMenu()">
<a href="">
<?php
if($userLoggedIn){
echo "
<script language=javascript>
var uName = document.getElementById('UserName');
uName.innerHTML = " . json_encode($uName) . ";
uName.style.color = 'white';
function profileMenu(){
window.location.href='../welcome.php';
}
</script>
";
}else{
echo "
<script language=javascript>
var uName = document.getElementById('UserName');
signOut.style.visibility = 'hidden';
</script>
";
}
?>
</a>
</li>
<li id="SignOut" onclick="logOut()">Log Out
<?php
if($userLoggedIn){
echo "
<script language=javascript>
var signOut = document.getElementById('SignOut');
signOut.style.color = 'white';
function logOut(){
window.location.href = 'action/logout.php';
}
</script>
";
}else{
echo "
<script language=javascript>
var signOut = document.getElementById('SignOut');
signOut.innerHTML = 'SIGN OUT';
signOut.style.visibility = 'hidden';
</script>
";
}
?>
</li>
</ul>
</nav>
</div>
<div class="donateform">
<h1>Blood Donation Form</h1>
</div>
<div class="dform">
<form class="dformm" method="post" action="action/ForDonationform.php">
<br>
<div id="dname">
<h2 class="dname">Name</h2>
<input class="dfirstname" type="text" name="first_name" required><br>
<label class="dfirstlabel">First Name</label>
<input class="dlastname" type="text" name="last_name" required> <br>
<label class="dlastlabel">Last Name</label>
</div>
<div id="ddob">
<h2 class="ddob">Date Of Birth</h2>
<input class="dmonth" type="text" name="month" min="1" max="12" required>
<label class="dmonthlabel">Month</label>
<input class="dday" type="number" name="day" min="1" max="31" required>
<label class="ddaylabel">Day</label>
<input class="dyear" type="number" name="year" min="1980" max="2022" required>
<label class="dyearlabel">Year</label>
</div>
<h2 class="dname">Email Address</h2>
<input class="demail" type="email" name="email_address">
<h2 class="dname">Phone Number</h2>
<input class="dphone" type="number" name="phone_no" required>
<br><br>
<div id="dd">
<h2 class="dd">Address</h2>
<input class="daddress_road" type="number" name="road_no" required> <br>
<label class="daddresslabel_road">Road Number</label>
<input class="daddress_house" type="number" name="house_no" required> <br>
<label class="daddresslabel_house">House Number</label>
<input class="daddress_zip" type="number" name="zip_code" required> <br>
<label class="daddresslabel_zip">Zip Code</label>
<input class="daddress_city" type="text" name="city" required> <br>
<label class="daddresslabel_city">City</label>
</div>
<br><br>
<div id="dhw">
<h2 class="dhw">Height (in ft & inches)</h2>
<div class="dhww">
<input class="dfeet" type="range" name="dfeet" id="range_dfeet" value="5" min="4" max="7"
oninput="range_dfeet_disp.value = range_dfeet.value" step="1">
<output id="range_dfeet_disp"></output>
<label class="dfeetlabel">feet</label>
<input class="dinch" type="range" name="dinch" id="range_dinch" value="5" min="0" max="12"
oninput="range_dinch_disp.value = range_dinch.value" step="1">
<output id="range_dinch_disp"></output>
<label class="dinchlabel">inch</label>
</div>
<div class="dhwww">
<h2 class="dhw">Weight (in kg)</h2>
</div>
<div class="dhwwww">
<input class="dweight" type="range" name="dweight" id="range_dweight" value="5" min="50" max="200"
oninput="range_dweight_disp.value = range_dweight.value" step="1">
<output id="range_dweight_disp"></output>
<label class="dweightlabel">kg</label>
</div>
<!-- <input class="dheight" type="range" min="0" max="11" name="Height_ft" > <br> -->
<!-- <label class="dheightlabel">Height</label> -->
<!-- <input class="dweight" type="number" name="last_name"> <br>
<label class="dweightlabel">Weight</label> -->
</div>
<h2 class="dbloodtype">Blood Type</h2>
<select name="blood_type" class="doption" required>
<option disabled="disabled" selected="selected">--Choose BloodType</option>
<option value="A+">A+</option>
<option value="B+">B+</option>
<option value="O+">O+</option>
<option value="AB+">AB+</option>
<option value="A-">A-</option>
<option value="B-">B-</option>
<option value="O-">O-</option>
<option value="AB-">AB-</option>
</select>
<h2 id="ddonate">Did you donate blood before?</h2>
<label class="dradio">
<input class="dradio-one" type="radio" checked="checked" name="hasDonate">
<span class="checkmark"></span>
Yes
</label>
<label class="dradio">
<input class="dradio-two" type="radio" name="hasDonate">
<span class="checkmark"></span>
No
</label>
<br>
<br>
<h2 id="ddonate">Are you:</h2>
<select name="gender" class="doption" required>
<option disabled="disabled" selected="selected">-->Gender</option>
<option value="Male">Male</option>
<option value="Female">Female</option>
<option value="Other">Other</option>
</select>
<div id="ddisease">
<h2 class="ddisease">Please write down if you had any previous diseases:</h2>
<input class="dddisease" type="text" name="disease"> <br>
</div>
<button class="dsubmit">Register To Donate Blood</button>
<br><br>
</form>
</div>
</body>
</html>