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form.html
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form.html
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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">
<link rel="stylesheet" href="css/form.css">
<link rel="stylesheet" href="css/navbar_vidhu.css">
<link rel="stylesheet" href="css/login.css">
<style>
@import url('https://fonts.googleapis.com/css2?family=Montserrat:wght@300;400;500;600&display=swap&family=Open+Sans:wght@300;600&display=swap"');
</style>
<title>Form</title>
</head>
<body>
<header class="header-for-navbar">
<div class="navbar-top">
<div class="brandwrap-top">
<a href="index.html"><img src="https://ik.imagekit.io/healthhighway2020/Group_1YBxSKuiyUd.svg?updatedAt=1633715883579" alt="logo"></a>
</div>
<nav>
<ul class="nav-links-top">
<li class="desk-link-nav"><a href="#">Blogs</a></li>
<li class="desk-link-nav"><a href="#">Support</a></li>
<li class="desk-link-nav"><a href="#" id="loginbtn">Login</a></li>
<li><a href="#" class="joinbtn" id="landing-joinus">JoinUs</a></li>
<li> <button class="loginIcon">
<img src="images/user.png" alt="user"/>
</button> </li>
</ul>
</nav>
</div>
</header>
<main>
<section class="form-container">
<form id="mainform" action="#">
<label for="goal" class="main-label">Goal</label>
<div class="select-editable">
<select onchange="this.nextElementSibling.value=this.value" id="goal">
<option value="Select">Select</option>
<option value="Hypertension">Hypertension</option>
<option value="Diabetes">Diabetes</option>
<option value="Insomnia">sleeplessness</option>
</select>
<input type="text" name="format" value="" id="other" />
</div>
<div class="basic-img">
<label class="main-label">Basic Information</label>
<div class="b-info">
<div class="name-div">
<label for="fname" class="sub-label">Name</label>
<input type="text" id="fname" required>
</div>
<div class="age-div">
<label for="fage" class="sub-label">Age</label>
<input type="text" id="fage" required>
</div>
<div class="weight-div">
<label for="fweight" class="sub-label">Weight (in kg)</label>
<input type="text" id="fweight" required>
</div>
<!-- <div class="height-div">
<label for="height" class="sub-label">Height (in cm)</label>
<input type="text" id="height" required>
</div> -->
<div class="pref-div">
<label class="sub-label">Trainer Preference</label>
<input type="radio" id="radio1" name="trainer" value="Male" checked>
<label class="sub-label" for="radio1">Male</label>
<input type="radio" id="radio2" name="trainer" value="Female">
<label class="sub-label" for="radio2">Female</label>
</div>
</div>
<div class="img">
<img id="yoga" src="https://ik.imagekit.io/healthhighway2020/yoga-se-hi-hoga_IW6O0AqhuU.gif?updatedAt=1631893349027" alt="gif">
</div>
</div>
<label class="main-label">Schedule Session</label>
<div class="ssn-div">
<div class="time-div">
<label class="sub-label">Time Slot</label>
<div class="timing-slots"><span id="selected-time">Choose</span> <img src="https://ik.imagekit.io/healthhighway2020/Clock__01AQB7Yn.png?updatedAt=1633421331660" width="20px" height="20px" alt="png"></div>
</div>
<div class="day-div">
<label class="sub-label">Routine</label>
<div class="day-slots"><span id="selected-days">Choose</span> <img src="https://ik.imagekit.io/healthhighway2020/Date_4_MCtZ27r.png?updatedAt=1633421363761" width="20px" height="20px" alt="png"></div>
</div>
<div class="time-grid disabled">
<input type="radio" id="t1" name="timing" value="6:00 AM">
<label for="t1">6 AM</label>
<input type="radio" id="t2" name="timing" value="7:00 AM">
<label for="t2">7 AM</label>
<input type="radio" id="t3" name="timing" value="8:00 AM">
<label for="t3">8 AM</label>
<input type="radio" id="t4" name="timing" value="9:00 AM">
<label for="t4">9 AM</label>
<input type="radio" id="t5" name="timing" value="4:00 PM">
<label for="t5">4 PM</label>
<input type="radio" id="t6" name="timing" value="5:00 PM">
<label for="t6">5 PM</label>
<input type="radio" id="t7" name="timing" value="6:00 PM">
<label for="t7">6 PM</label>
<input type="radio" id="t8" name="timing" value="7:00 PM">
<label for="t8">7 PM</label>
<input type="radio" id="t9" name="timing" value="8:00 PM">
<label for="t9">8 PM</label>
</div>
<div class="day-grid disabled">
<input type="checkbox" id="day1" name="days" value="Mon">
<label for="day1">Mon</label>
<input type="checkbox" id="day2" name="days" value="Tue">
<label for="day2">Tue</label>
<input type="checkbox" id="day3" name="days" value="Wed">
<label for="day3">Wed</label>
<input type="checkbox" id="day4" name="days" value="Thu">
<label for="day4">Thu</label>
<input type="checkbox" id="day5" name="days" value="Fri">
<label for="day5">Fri</label>
<input type="checkbox" id="day6" name="days" value="Sat">
<label for="day6">Sat</label>
<input type="checkbox" id="day7" name="days" value="Sun">
<label for="day7">Sun</label>
</div>
<div class="date-div">
<label class="sub-label" for="date">Starting date</label>
<input type="date" id="date">
</div>
</div>
<div class="btns">
<button class="btn sel" type="submit">Checkout</button>
</div>
</form>
</section>
<!-- login div -->
<div class="login-modal-bg">
<div class="login-modal">
<div class="loginBody" id="phoneDiv">
<img src="https://ik.imagekit.io/healthhighway2020/logo_DcXvHIoG7.svg?updatedAt=1631177447330" class="loginLogo">
<img src="https://ik.imagekit.io/healthhighway2020/logoText_Is7BIsFYx.svg?updatedAt=1631177452465" class="textLogo">
<p class="loginInput">+91 <i class="down-arrow"></i> <input class="loginInputBar" placeholder="Please Enter Your Phone Number" type="text" id="inputPhoneNo"></p><br>
<div style="margin-left:10px!important;margin-right: 10px!important;" id="recaptcha-verifier"></div>
<button type="button" class="btn btn-light loginButton" id="loginContinue" style="pointer-events:none">
Continue
</button>
<p class="loginCondition">By Continuing you agree to the <a style="color:#29E7CD;text-decoration: underline">Terms of Services</a> and <a style="color:#29E7CD; text-decoration: underline">Privacy policy</a>.</p>
<button type="button" class="btn loginContinueButton" id="customBtn" style="display: flex; align-content: flex-start;">
<img src="https://ik.imagekit.io/healthhighway2020/google_80EpslXEKg.png?updatedAt=1631177403407" class="google">Login Using Gmail</span>
</button>
</div>
<div id="OTP">
<p class="OTPTitle" id="backOTP"><i id="modalBack"></i><span class="OTPText" style="color: #4ca9ee">BACK</span></p>
<div class="loginBody">
<p class="enterText">Please enter the code we just sent to <span id="phoneNumber"></span> proceed
</p>
<form class="otp" name="one-time-code" id="otp-div">
<fieldset>
<div>
<input type="number" pattern="[0-9]*" value="" inputtype="numeric" autocomplete="one-time-code" id="otp-1" required>
<input type="number" pattern="[0-9]*" min="0" max="9" maxlength="1" value="" inputtype="numeric" id="otp-2" required>
<input type="number" pattern="[0-9]*" min="0" max="9" maxlength="1" value="" inputtype="numeric" id="otp-3" required>
<input type="number" pattern="[0-9]*" min="0" max="9" maxlength="1" value="" inputtype="numeric" id="otp-4" required>
<input type="number" pattern="[0-9]*" min="0" max="9" maxlength="1" value="" inputtype="numeric" id="otp-5" required>
<input type="number" pattern="[0-9]*" min="0" max="9" maxlength="1" value="" inputtype="numeric" id="otp-6" required>
</div>
</fieldset>
</form>
<button type="button" class="btn btn-light loginButton" id="confirmLogin">
Confirm
</button>
</div>
</div>
<div id="name">
<p class="nameTitle" id="backName"><i id="modalBack"></i><span class="OTPText" style="color: #4ca9ee">BACK</span></p>
<div class="loginBody">
<img class="nameImg" src="https://ik.imagekit.io/healthhighway2020/nameDiv_cHk_VP7U6-.svg?updatedAt=1631378890462">
<p class="nameText">Its always good to know each other before we get started :)
</p>
<input class="nameInput" placeholder="Please Enter Your Fullname ">
<button type="button" class="btn btn-light loginButton" id="continueName">
Continue
</button>
</div>
</div>
<span> <i class="close"></i></span>
</div>
</div>
</main>
<script src="js/newform.js"></script>
<script src="js/login.js"></script>
</body>
</html>