[%
    pre_map = INCLUDE 'report/_main.html';
    PROCESS "maps/${map.type}.html";
    INCLUDE 'header.html', title = loc('Questionnaire')
%]

[% map_html %]

[% INCLUDE 'report/updates.html' %]

</div>
<div id="side">

<h1>[% loc('Questionnaire') %]</h1>

<form method="post" action="/questionnaire/submit" id="questionnaire"
[%- IF c.cobrand.allow_photo_upload -%]
 enctype="multipart/form-data"
[%- END -%]
>

<input type="hidden" name="token" value="[% token | html %]">

[% IF c.cobrand.moniker == 'emptyhomes' %]
[% IF num_questionnaire == 1 %]
[% loc('<p>Getting empty homes back into use can be difficult. You shouldn&rsquo;t expect
the property to be back into use yet. But a good council will have started work
and should have reported what they have done on the website. If you are not
satisfied with progress or information from the council, now is the right time
to say. You may also want to try contacting some other people who may be able
to help.  For advice on how to do this and other useful information please
go to <a href="http://www.emptyhomes.com/getinvolved/campaign.html">http://www.emptyhomes.com/getinvolved/campaign.html</a>.</p>
') %]
[% ELSE %]
[% loc('<p>Getting empty homes back into use can be difficult, but by now a good council
will have made a lot of progress and reported what they have done on the
website. Even so properties can remain empty for many months if the owner is
unwilling or the property is in very poor repair.  If nothing has happened or
you are not satisfied with the progress the council is making, now is the right
time to say so. We think it&rsquo;s a good idea to contact some other people who
may be able to help or put pressure on the council  For advice on how to do
this and other useful information please go to <a
href="http://www.emptyhomes.com/getinvolved/campaign.html">http://www.emptyhomes.com/getinvolved/campaign.html</a>.</p>
') %]
[% END %]
[% END %]

<p>
[% loc('The details of your problem are available on the right hand side of this page.') %]
[% loc('Please take a look at the updates that have been left.') IF updates %]
</p>

[% IF errors %]
<ul class="error">
<li>[% errors.join("</li>\n<li>") %]</li>
</ul>
[% END %]

<p>
[% loc('An update marked this problem as fixed.') IF problem.is_fixed %]
[% loc('Has this problem been fixed?') %]
</p>

<p>
<input type="radio" name="been_fixed" id="been_fixed_yes" value="Yes"[% ' checked' IF been_fixed == 'Yes' %]>
<label for="been_fixed_yes">[% loc('Yes') %]</label>
<input type="radio" name="been_fixed" id="been_fixed_no" value="No"[% ' checked' IF been_fixed == 'No' %]>
<label for="been_fixed_no">[% loc('No') %]</label>
<input type="radio" name="been_fixed" id="been_fixed_unknown" value="Unknown"[% ' checked' IF been_fixed == 'Unknown' %]>
<label for="been_fixed_unknown">[% loc('Don&rsquo;t know') %]</label>
</p>

[% UNLESS answered_ever_reported %]
<p>[% loc('Have you ever reported a problem to a council before, or is this your first time?') %]</p>
<p>
<input type="radio" name="reported" id="reported_yes" value="Yes"[% ' checked' IF reported == 'Yes' %]>
<label for="reported_yes">[% loc('Reported before') %]</label>
<input type="radio" name="reported" id="reported_no" value="No"[% ' checked' IF reported == 'No' %]>
<label for="reported_no">[% loc('First time') %]</label>
</p>
[% END %]

<p>[% loc('If you wish to leave a public update on the problem, please enter it here
(please note it will not be sent to the council). For example, what was
your experience of getting the problem fixed?') %]</p>

<p><textarea name="update" style="max-width:90%" rows="7" cols="30">[% update | html %]</textarea></p>

[% IF c.cobrand.allow_photo_upload %]
<div id="fileupload_normalUI">
    [% IF upload_fileid %]
        <p>[% loc('You have already attached a photo to this report, attaching another one will replace it.') %]</p>
        <input type="hidden" name="upload_fileid" value="[% upload_fileid %]">
    [% END %]
    <label for="form_photo">[% loc('Photo:') %]</label>
    <input type="file" name="photo" id="form_photo">
</div>
[% END %]

[% IF c.cobrand.moniker != 'emptyhomes' %]
<div id="another_qn">
    <p>[% loc('Would you like to receive another questionnaire in 4 weeks, reminding you to check the status?') %]</p>
    <p>
        <input type="radio" name="another" id="another_yes" value="Yes"[% ' checked' IF another == 'Yes' %]>
        <label for="another_yes">[% loc('Yes') %]</label>
        <input type="radio" name="another" id="another_no" value="No"[% ' checked' IF another == 'No' %]>
        <label for="another_no">[% loc('No') %]</label>
    </p>
</div>
[% END %]

<p><input type="submit" name="submit" value="[% loc('Submit questionnaire') %]"></p>

</form>

</div>

[% INCLUDE 'footer.html' %]