edit.html 12.6 KB
<include file="public@header"/>
</head>
<body>
<!--<script type="text/html" id="photos-item-tpl">-->
<!--<li id="saved-image{id}">-->
<!--<input id="photo-{id}" type="hidden" name="photo_urls[]" value="{filepath}">-->
<!--<input class="form-control" id="photo-{id}-name" type="text" name="photo_names[]" value="{name}"-->
<!--style="width: 200px;" title="图片名称">-->
<!--<img id="photo-{id}-preview" src="{url}" style="height:36px;width: 36px;"-->
<!--onclick="imagePreviewDialog(this.src);">-->
<!--<a href="javascript:uploadOneImage('图片上传','#photo-{id}');">替换</a>-->
<!--<a href="javascript:(function(){$('#saved-image{id}').remove();})();">移除</a>-->
<!--</li>-->
<!--</script>-->
<div class="wrap js-check-wrap">
    <ul class="nav nav-tabs">
        <li><a href="{:url('Question/index')}">问卷调查</a></li>
        <li class="active"><a href="#">更多信息</a></li>
    </ul>
    <form action="{:url('Question/edit')}" method="post" class="form-horizontal js-ajax-form margin-top-20">
        <div class="row">
            <div class="col-md-9">
                <table class="table table-bordered">
                    <tr>
                        <th width="100">用户昵称</th>
                        <td>
                            <input class="form-control" type="text" name=""
                                   id="user_nickname" value="{$data.user_nickname}" placeholder="请输入用户昵称" readonly/>
                            <input type="hidden" name="id" value="{$data.id}">
                        </td>
                    </tr>
                    <tr>
                        <th width="100">姓名</th>
                        <td>
                            <input class="form-control" type="text" name="name"
                                   id="name" value="{$data.name}" placeholder="请输入姓名"/>
                        </td>
                    </tr>
                    <tr>
                        <th width="100">性别</th>
                        <td>
                            <label><input type="radio" name="sex" value="男" <eq name="$data.sex" value="男">checked</eq> />男</label>
                            <label><input type="radio" name="sex" value="女" <eq name="$data.sex" value="女">checked</eq> />女</label>
                        </td>
                    </tr>
                    <tr>
                        <th width="100">年龄</th>
                        <td>
                            <input class="form-control" type="text" name="birthday"
                                   id="birthday" value="{$data.birthday}" placeholder="请输入年龄"/>
                        </td>
                    </tr>
                    <tr>
                        <th width="100">所在地</th>
                        <td>
                            <input class="form-control" type="text" name="area"
                                   id="area" value="{$data.area}" placeholder="请输入所在地"/>
                        </td>
                    </tr>
                    <tr>
                        <th width="100">家庭结构</th>
                        <td>
                            <select class="form-control" name="family_num">
                                <option value='1-2' <eq name="$data.family_num" value="1-2">selected</eq>>1-2</option>
                                <option value='3-4' <eq name="$data.family_num" value="3-4">selected</eq>>3-4</option>
                                <option value='5个以上' <eq name="$data.family_num" value="5个以上">selected</eq>>5个以上</option>
                            </select>
                        </td>
                    </tr>
                    <tr>
                        <th width="100">职业</th>
                        <td>
                            <select class="form-control" name="occupation">
                                <option value='职员' <eq name="$data.occupation" value="职员">selected</eq>>职员</option>
                                <option value='学生' <eq name="$data.occupation" value="学生">selected</eq>>学生</option>
                                <option value='自由职业' <eq name="$data.occupation" value="自由职业">selected</eq>>自由职业</option>
                                <option value='企业高管' <eq name="$data.occupation" value="企业高管">selected</eq>>企业高管</option>
                                <option value='其它' <eq name="$data.occupation" value="其它">selected</eq>>其它</option>
                            </select>
                        </td>
                    </tr>
                    <tr>
                        <th width="100">有无吸烟酗酒史</th>
                        <td>
                            <label><input type="radio" name="smoke_drink" value="有" <eq name="$data.smoke_drink" value="有">checked</eq> />有</label>
                            <label><input type="radio" name="smoke_drink" value="无" <eq name="$data.smoke_drink" value="无">checked</eq> />无</label>
                        </td>
                    </tr>
                    <tr>
                        <th width="100">出行方式</th>
                        <td>
                            <select class="form-control" name="going">
                                <option value='公共交通' <eq name="$data.going" value="公共交通">selected</eq>>公共交通</option>
                                <option value='自驾' <eq name="$data.going" value="自驾">selected</eq>>自驾</option>
                                <option value='公共交通+自驾' <eq name="$data.going" value="公共交通+自驾">selected</eq>>公共交通+自驾</option>
                            </select>
                        </td>
                    </tr>
                    <tr>
                        <th width="100">有无社保</th>
                        <td>
                            <label><input type="radio" name="social" value="有" <eq name="$data.social" value="有">checked</eq> />有</label>
                            <label><input type="radio" name="social" value="无" <eq name="$data.social" value="无">checked</eq> />无</label>
                        </td>
                    </tr>
                    <tr>
                        <th width="100">家庭年收入</th>
                        <td>
                            <select class="form-control" name="year_income">
                                <option value='5万以下' <eq name="$data.year_income" value="5万以下">selected</eq>>5万以下</option>
                                <option value='5-15万' <eq name="$data.year_income" value="5-15万">selected</eq>>5-15万</option>
                                <option value='15-25万' <eq name="$data.year_income" value="15-25万">selected</eq>>15-25万</option>
                                <option value='25-35万' <eq name="$data.year_income" value="25-35万">selected</eq>>25-35万</option>
                                <option value='35万以上' <eq name="$data.year_income" value="35万以上">selected</eq>>35万以上</option>
                            </select>
                        </td>
                    </tr>
                    <tr>
                        <th width="100">个人年收入</th>
                        <td>
                            <select class="form-control" name="personage_year_income">
                                <option value='50000' <eq name="$data.personage_year_income" value="50000">selected</eq>>5万以下</option>
                                <option value='100000' <eq name="$data.personage_year_income" value="100000">selected</eq>>5-15万</option>
                                <option value='200000' <eq name="$data.personage_year_income" value="200000">selected</eq>>15-25万</option>
                                <option value='250000' <eq name="$data.personage_year_income" value="250000">selected</eq>>25-35万</option>
                                <option value='350000' <eq name="$data.personage_year_income" value="350000">selected</eq>>35万以上</option>
                            </select>
                        </td>
                    </tr>
                    <tr>
                        <th width="100">有无负债</th>
                        <td>
                            <label><input type="radio" name="liabilities" value="有" <eq name="$data.liabilities" value="有">checked</eq> />有</label>
                            <label><input type="radio" name="liabilities" value="无" <eq name="$data.liabilities" value="无">checked</eq> />无</label>
                        </td>
                    </tr>
                    <tr>
                        <th width="100">大约未还负债</th>
                        <td>
                            <select class="form-control" name="not_return">
                                <option value='0' <eq name="$data.not_return" value="0">selected</eq>>无</option>
                                <option value='100000' <eq name="$data.not_return" value="100000">selected</eq>>10-30万</option>
                                <option value='150000' <eq name="$data.not_return" value="150000">selected</eq>>30-50万</option>
                                <option value='750000' <eq name="$data.not_return" value="750000">selected</eq>>50-100万</option>
                                <option value='1000000' <eq name="$data.not_return" value="1000000">selected</eq>>100万以上</option>
                            </select>
                        </td>
                    </tr>
                    <tr>
                        <th width="100">有无家族病史</th>
                        <td>
                            <label><input type="radio" name="family_disease" value="有" <eq name="$data.family_disease" value="有">checked</eq> />有</label>
                            <label><input type="radio" name="family_disease" value="无" <eq name="$data.family_disease" value="无">checked</eq> />无</label>
                        </td>
                    </tr>
                    <tr>
                        <th width="100">你更关心您家人哪方面保障</th>
                        <td>
                            <php>$safeguard=explode(',',$data['safeguard']);</php>
                            <label><input type="checkbox" name="safeguard[]" value="旅游" <foreach name="$safeguard" item="s"><eq name="$s" value="旅游">checked</eq></foreach> />旅游</label>
                            <label><input type="checkbox" name="safeguard[]" value="意外" <foreach name="$safeguard" item="s"><eq name="$s" value="意外">checked</eq></foreach> />意外</label>
                            <label><input type="checkbox" name="safeguard[]" value="健康" <foreach name="$safeguard" item="s"><eq name="$s" value="健康">checked</eq></foreach> />健康</label>
                        </td>
                    </tr>
                    <tr>
                        <th width="100">手机号</th>
                        <td>
                            <input class="form-control" type="text" name="phone"
                                   id="phone" value="{$data.phone}" placeholder="请输入手机号"/>
                        </td>
                    </tr>
                </table>
                <div class="form-group">
                    <div class="col-sm-offset-2 col-sm-10">
                        <button type="submit" class="btn btn-primary js-ajax-submit">{:lang('SAVE')}</button>
                        <a class="btn btn-default" href="javascript:history.back(-1);">{:lang('BACK')}</a>
                    </div>
                </div>
            </div>
            <div class="col-md-3">

            </div>
        </div>
    </form>
</div>
<script type="text/javascript" src="__STATIC__/js/admin.js"></script>
<script type="text/javascript">
    //编辑器路径定义
    var editorURL = GV.WEB_ROOT;
</script>
<script type="text/javascript" src="__STATIC__/js/ueditor/ueditor.config.js"></script>
<script type="text/javascript" src="__STATIC__/js/ueditor/ueditor.all.min.js"></script>
<script type="text/javascript">
    $(function () {

        editorcontent = new baidu.editor.ui.Editor();
        editorcontent.render('content');
        try {
            editorcontent.sync();
        } catch (err) {
        }

        $('.btn-cancel-thumbnail').click(function () {
            $('#thumbnail-preview').attr('src', '__TMPL__/public/assets/images/default-thumbnail.png');
            $('#thumbnail').val('');
        });

        $('.btn-cancel-thumbnail1').click(function () {
            $('#thumbnail-preview1').attr('src', '__TMPL__/public/assets/images/default-thumbnail.png');
            $('#thumbnail1').val('');
        });


    });
</script>
</body>
</html>