2025-08-28 17:09:23 -06:00
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{{ define "content" }}
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2025-08-29 22:51:04 -06:00
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<!DOCTYPE html>
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<html lang="en">
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<head>
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<meta charset="UTF-8" />
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<meta name="viewport" content="width=device-width, initial-scale=1.0" />
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<title>Campaign Management System - Poll Response</title>
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<script src="https://cdn.tailwindcss.com"></script>
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<style>
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body,
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html {
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height: 100vh;
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overflow: hidden;
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}
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.toggle-button {
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transition: all 0.2s ease;
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}
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.toggle-button:hover {
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background-color: #f3f4f6;
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}
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.toggle-button.active {
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background-color: #1f2937;
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color: white;
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border-color: #1f2937;
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}
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.professional-input:focus {
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outline: none;
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border-color: #1f2937;
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box-shadow: 0 0 0 2px rgba(31, 41, 55, 0.1);
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}
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.professional-button:hover {
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background-color: #374151;
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}
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</style>
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</head>
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<body class="bg-gray-100 font-sans">
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<div class="h-screen flex flex-col">
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<!-- Form Content - Scrollable -->
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<div class="flex-1 overflow-y-auto">
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<div class="flex">
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<!-- Main Form Area -->
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<div class="flex-1 mb-10">
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<div class="max-w-4xl mx-auto h-full">
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<div class="bg-white border border-gray-300 h-full flex flex-col">
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<!-- Form Header -->
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<div
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class="bg-gray-50 border-b border-gray-300 px-6 py-4 flex-shrink-0"
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>
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<h2 class="text-lg font-semibold text-gray-900">
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Voter Response Form
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</h2>
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</div>
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2025-08-28 17:09:23 -06:00
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2025-08-29 22:51:04 -06:00
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<!-- Form Body -->
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<div class="flex-1 p-6 overflow-y-auto pb-6">
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<form id="poll-form" method="POST" class="space-y-6">
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<input type="hidden" name="poll_id" value="12345" />
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2025-08-28 17:09:23 -06:00
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2025-08-29 22:51:04 -06:00
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<!-- Postal Code -->
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<div>
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<label
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class="block text-sm font-medium text-gray-700 mb-2"
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>
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Respondent Postal Code *
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</label>
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<input
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type="text"
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name="postal_code"
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placeholder="T2P 1J9"
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class="professional-input w-full px-3 py-2 border border-gray-300 bg-white text-gray-900 placeholder-gray-500 transition-all"
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required
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/>
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</div>
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2025-08-28 17:09:23 -06:00
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2025-08-29 22:51:04 -06:00
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<!-- Question 1 -->
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<div>
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<label
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class="block text-sm font-medium text-gray-700 mb-3"
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>
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1. Have you voted before?
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</label>
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<div class="grid grid-cols-2 gap-3">
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<button
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type="button"
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class="toggle-button h-12 border-2 border-gray-300 bg-white text-gray-700 font-medium"
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data-name="question1_voted_before"
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data-value="true"
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>
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YES
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</button>
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<button
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type="button"
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class="toggle-button h-12 border-2 border-gray-300 bg-white text-gray-700 font-medium"
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data-name="question1_voted_before"
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data-value="false"
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>
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NO
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</button>
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</div>
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<input
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type="hidden"
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name="question1_voted_before"
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value=""
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/>
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</div>
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2025-08-29 22:51:04 -06:00
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<!-- Question 2 -->
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<div>
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<label
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class="block text-sm font-medium text-gray-700 mb-3"
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>
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2. Will you vote again for this candidate?
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</label>
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<div class="grid grid-cols-2 gap-3">
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<button
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type="button"
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class="toggle-button h-12 border-2 border-gray-300 bg-white text-gray-700 font-medium"
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data-name="question2_vote_again"
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data-value="true"
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>
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YES
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</button>
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<button
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type="button"
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class="toggle-button h-12 border-2 border-gray-300 bg-white text-gray-700 font-medium"
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data-name="question2_vote_again"
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data-value="false"
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>
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NO
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</button>
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</div>
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<input
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type="hidden"
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name="question2_vote_again"
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value=""
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/>
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</div>
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2025-08-28 17:09:23 -06:00
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2025-08-29 22:51:04 -06:00
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<!-- Question 3 -->
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<div>
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<label
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class="block text-sm font-medium text-gray-700 mb-2"
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>
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3. Lawn Signs Required
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</label>
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<div class="flex items-center space-x-3">
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<input
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type="number"
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name="question3_lawn_signs"
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min="0"
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max="10"
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value="0"
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class="professional-input w-20 px-3 py-2 border border-gray-300 bg-white text-gray-900 text-center"
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/>
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<span class="text-sm text-gray-500"
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>signs (max 10)</span
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>
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</div>
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</div>
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2025-08-28 17:09:23 -06:00
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2025-08-29 22:51:04 -06:00
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<!-- Question 4 -->
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<div>
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<label
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class="block text-sm font-medium text-gray-700 mb-2"
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>
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4. Banner Signs Required
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</label>
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<div class="flex items-center space-x-3">
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<input
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type="number"
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name="question4_banner_signs"
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min="0"
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max="5"
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value="0"
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class="professional-input w-20 px-3 py-2 border border-gray-300 bg-white text-gray-900 text-center"
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/>
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<span class="text-sm text-gray-500">signs (max 5)</span>
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</div>
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</div>
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2025-08-28 17:09:23 -06:00
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2025-08-29 22:51:04 -06:00
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<!-- Question 5 -->
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<div>
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<label
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class="block text-sm font-medium text-gray-700 mb-2"
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>
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5. Additional Comments
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</label>
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<textarea
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name="question5_thoughts"
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rows="4"
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placeholder="Enter any additional feedback or comments..."
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class="professional-input w-full px-3 py-2 border border-gray-300 bg-white text-gray-900 placeholder-gray-500 resize-none"
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></textarea>
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</div>
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2025-08-28 17:09:23 -06:00
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2025-08-29 22:51:04 -06:00
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<!-- Delivery Section (conditionally shown) -->
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<div id="delivery-section" class="hidden">
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<label
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class="block text-sm font-medium text-gray-700 mb-2"
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>
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Delivery Address
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</label>
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<input
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type="text"
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name="delivery_address"
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placeholder="Enter delivery address"
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class="professional-input w-full px-3 py-2 border border-gray-300 bg-white text-gray-900 placeholder-gray-500"
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/>
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</div>
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</form>
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</div>
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<!-- Form Footer -->
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<div
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class="border-t border-gray-300 bg-gray-50 px-6 py-4 flex-shrink-0"
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>
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<div class="flex space-x-3">
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<button
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type="button"
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onclick="window.history.back()"
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class="px-4 py-2 border border-gray-300 bg-white text-gray-700 text-sm font-medium hover:bg-gray-50 transition-all"
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>
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CANCEL
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</button>
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<button
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type="submit"
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form="poll-form"
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class="professional-button px-6 py-2 bg-gray-800 text-white text-sm font-medium hover:bg-gray-700 transition-all"
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>
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SUBMIT RESPONSE
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</button>
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</div>
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</div>
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</div>
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</div>
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2025-08-28 17:09:23 -06:00
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</div>
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2025-08-29 22:51:04 -06:00
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</div>
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2025-08-28 17:09:23 -06:00
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</div>
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</div>
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2025-08-29 22:51:04 -06:00
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<script>
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document.addEventListener("DOMContentLoaded", function () {
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// Toggle button functionality
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const toggleButtons = document.querySelectorAll(".toggle-button");
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toggleButtons.forEach((button) => {
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button.addEventListener("click", function () {
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const name = this.getAttribute("data-name"); // input name
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const value = this.getAttribute("data-value");
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2025-08-28 17:09:23 -06:00
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2025-08-29 22:51:04 -06:00
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// Find hidden input
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const hiddenInput = document.querySelector(`input[name="${name}"]`);
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if (!hiddenInput) return;
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2025-08-28 17:09:23 -06:00
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2025-08-29 22:51:04 -06:00
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// Reset sibling buttons
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const siblingButtons = document.querySelectorAll(
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`.toggle-button[data-name="${name}"]`
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);
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siblingButtons.forEach((btn) => btn.classList.remove("active"));
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// Mark this as active
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this.classList.add("active");
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2025-08-28 17:09:23 -06:00
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2025-08-29 22:51:04 -06:00
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// Set hidden input value
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hiddenInput.value = value;
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});
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});
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});
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</script>
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</body>
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</html>
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2025-08-28 17:09:23 -06:00
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{{ end }}
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