143 lines
3.9 KiB
Plaintext
143 lines
3.9 KiB
Plaintext
<%= form_with(model: participant, local: true) do |form| %>
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<% if participant.errors.any? %>
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<div id="error_explanation">
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<h2><%= pluralize(participant.errors.count, "error") %> prohibited this participant from being saved:</h2>
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<ul>
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<% participant.errors.full_messages.each do |message| %>
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<li><%= message %></li>
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<% end %>
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</ul>
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</div>
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<% end %>
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<div class="field">
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<%= form.label :name %>
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<%= form.text_field :name %>
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</div>
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<div class="field">
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<%= form.label :address %>
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<%= form.text_area :address, rows: 1, class: 'auto-expand' %>
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</div>
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<div class="field">
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<%= form.label :phone %>
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<%= form.telephone_field :phone, id: 'phone-field' %>
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</div>
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<div class="field">
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<%= form.label :email %>
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<%= form.email_field :email, id: 'email-field', required: true %>
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</div>
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<div class="field">
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<%= form.label :mci, 'MCI' %>
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<%= form.text_field :mci %>
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</div>
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<div class="field">
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<%= form.label :dob, 'Date of Birth' %>
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<%= form.date_field :dob %>
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</div>
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<div class="field">
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<%= form.label :ssn, 'Social Security Number' %>
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<%= form.text_field :ssn, id: 'ssn-field', maxlength: 11, placeholder: 'XXX-XX-XXXX' %>
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</div>
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<div class="field">
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<%= form.label :gender %>
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<%= form.select :gender, ['Unknown', 'Female', 'Male', 'Non-Binary', 'Other'] %>
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</div>
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<div class="actions">
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<%= form.submit %>
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</div>
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<% end %>
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<%# This is to correct phone number entry %>
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<script>
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document.addEventListener("DOMContentLoaded", function() {
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const phoneField = document.getElementById('phone-field');
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phoneField.addEventListener('input', function() {
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let input = phoneField.value.replace(/\D/g, ''); // Remove non-numeric characters
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const inputLength = input.length;
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if (inputLength > 3 && inputLength <= 6) {
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input = `(${input.slice(0, 3)}) ${input.slice(3)}`;
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} else if (inputLength > 6) {
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input = `(${input.slice(0, 3)}) ${input.slice(3, 6)}-${input.slice(6, 10)}`;
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}
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phoneField.value = input;
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});
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});
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</script>
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<%# This is for auto resizing the address field %>
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<script>
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document.addEventListener("DOMContentLoaded", function() {
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const textareas = document.querySelectorAll('.auto-expand');
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const resizeTextarea = function(el) {
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el.style.height = 'auto';
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el.style.height = (el.scrollHeight) + 'px';
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}
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textareas.forEach(textarea => {
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textarea.addEventListener('input', function() {
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resizeTextarea(textarea);
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});
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// Initial resize
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resizeTextarea(textarea);
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});
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});
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</script>
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<%# This is to require 1 @ sign for email entry %>
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<script>
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document.addEventListener('turbolinks:load', function() {
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const emailField = document.getElementById('email-field');
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emailField.addEventListener('input', function() {
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const emailValue = emailField.value;
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const atSignCount = (emailValue.match(/@/g) || []).length;
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if (atSignCount !== 1) {
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emailField.setCustomValidity("Email must contain exactly one '@' sign.");
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} else {
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emailField.setCustomValidity('');
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}
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});
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});
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</script>
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<%# This is for Social Security formatting and # of digits %>
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<script>
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document.addEventListener('DOMContentLoaded', () => {
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const ssnField = document.getElementById('ssn-field');
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ssnField.addEventListener('input', () => {
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let ssn = ssnField.value.split('-').join(''); // Remove dashes
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ssn = ssn.replace(/\D/g, ''); // Keep numbers only
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if (ssn.length > 3 && ssn.length <= 5) {
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ssn = ssn.slice(0, 3) + '-' + ssn.slice(3);
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} else if (ssn.length > 5) {
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ssn = ssn.slice(0, 3) + '-' + ssn.slice(3, 5) + '-' + ssn.slice(5, 9);
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}
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ssnField.value = ssn; // Update the field value
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});
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});
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</script>
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