正在显示
1 个修改的文件
包含
50 行增加
和
16 行删除
@@ -60,29 +60,40 @@ | @@ -60,29 +60,40 @@ | ||
60 | <tr> | 60 | <tr> |
61 | <th width="100">家庭结构</th> | 61 | <th width="100">家庭结构</th> |
62 | <td> | 62 | <td> |
63 | - <input class="form-control" type="text" name="family_num" | ||
64 | - id="family_num" value="{$data.family_num}" placeholder="请输入家庭结构"/> | 63 | + <select class="form-control" name="family_num"> |
64 | + <option value='1-2' <eq name="$data.family_num" value="1-2">selected</eq>>1-2</option> | ||
65 | + <option value='3-4' <eq name="$data.family_num" value="3-4">selected</eq>>3-4</option> | ||
66 | + <option value='5个以上' <eq name="$data.family_num" value="5个以上">selected</eq>>5个以上</option> | ||
67 | + </select> | ||
65 | </td> | 68 | </td> |
66 | </tr> | 69 | </tr> |
67 | <tr> | 70 | <tr> |
68 | <th width="100">职业</th> | 71 | <th width="100">职业</th> |
69 | <td> | 72 | <td> |
70 | - <input class="form-control" type="text" name="occupation" | ||
71 | - id="occupation" value="{$data.occupation}" placeholder="请输入职业"/> | 73 | + <select class="form-control" name="occupation"> |
74 | + <option value='职员' <eq name="$data.occupation" value="职员">selected</eq>>职员</option> | ||
75 | + <option value='学生' <eq name="$data.occupation" value="学生">selected</eq>>学生</option> | ||
76 | + <option value='自由职业' <eq name="$data.occupation" value="自由职业">selected</eq>>自由职业</option> | ||
77 | + <option value='企业高管' <eq name="$data.occupation" value="企业高管">selected</eq>>企业高管</option> | ||
78 | + <option value='其它' <eq name="$data.occupation" value="其它">selected</eq>>其它</option> | ||
79 | + </select> | ||
72 | </td> | 80 | </td> |
73 | </tr> | 81 | </tr> |
74 | <tr> | 82 | <tr> |
75 | <th width="100">有无吸烟酗酒史</th> | 83 | <th width="100">有无吸烟酗酒史</th> |
76 | <td> | 84 | <td> |
77 | - <input class="form-control" type="text" name="smoke_drink" | ||
78 | - id="smoke_drink" value="{$data.smoke_drink}" placeholder="请输入有误吸烟酗酒史"/> | 85 | + <label><input type="radio" name="smoke_drink" value="有" <eq name="$data.smoke_drink" value="有">checked</eq> />有</label> |
86 | + <label><input type="radio" name="smoke_drink" value="无" <eq name="$data.smoke_drink" value="无">checked</eq> />无</label> | ||
79 | </td> | 87 | </td> |
80 | </tr> | 88 | </tr> |
81 | <tr> | 89 | <tr> |
82 | <th width="100">出行方式</th> | 90 | <th width="100">出行方式</th> |
83 | <td> | 91 | <td> |
84 | - <input class="form-control" type="text" name="going" | ||
85 | - id="going" value="{$data.going}" placeholder="请输入出行方式"/> | 92 | + <select class="form-control" name="going"> |
93 | + <option value='公共交通' <eq name="$data.going" value="公共交通">selected</eq>>公共交通</option> | ||
94 | + <option value='自驾' <eq name="$data.going" value="自驾">selected</eq>>自驾</option> | ||
95 | + <option value='公共交通+自驾' <eq name="$data.going" value="公共交通+自驾">selected</eq>>公共交通+自驾</option> | ||
96 | + </select> | ||
86 | </td> | 97 | </td> |
87 | </tr> | 98 | </tr> |
88 | <tr> | 99 | <tr> |
@@ -90,6 +101,8 @@ | @@ -90,6 +101,8 @@ | ||
90 | <td> | 101 | <td> |
91 | <input class="form-control" type="text" name="social" | 102 | <input class="form-control" type="text" name="social" |
92 | id="social" value="{$data.social}" placeholder="请输入有无社保"/> | 103 | id="social" value="{$data.social}" placeholder="请输入有无社保"/> |
104 | + <label><input type="radio" name="social" value="有" <eq name="$data.social" value="有">checked</eq> />有</label> | ||
105 | + <label><input type="radio" name="social" value="无" <eq name="$data.social" value="无">checked</eq> />无</label> | ||
93 | </td> | 106 | </td> |
94 | </tr> | 107 | </tr> |
95 | <tr> | 108 | <tr> |
@@ -97,34 +110,51 @@ | @@ -97,34 +110,51 @@ | ||
97 | <td> | 110 | <td> |
98 | <input class="form-control" type="text" name="year_income" | 111 | <input class="form-control" type="text" name="year_income" |
99 | id="year_income" value="{$data.year_income}" placeholder="请输入家庭年收入"/> | 112 | id="year_income" value="{$data.year_income}" placeholder="请输入家庭年收入"/> |
113 | + <select class="form-control" name="year_income"> | ||
114 | + <option value='5万以下' <eq name="$data.year_income" value="5万以下">selected</eq>>5万以下</option> | ||
115 | + <option value='5-15万' <eq name="$data.year_income" value="5-15万">selected</eq>>5-15万</option> | ||
116 | + <option value='15-25万' <eq name="$data.year_income" value="15-25万">selected</eq>>15-25万</option> | ||
117 | + <option value='25-35万' <eq name="$data.year_income" value="25-35万">selected</eq>>25-35万</option> | ||
118 | + <option value='35万以上' <eq name="$data.year_income" value="35万以上">selected</eq>>35万以上</option> | ||
119 | + </select> | ||
100 | </td> | 120 | </td> |
101 | </tr> | 121 | </tr> |
102 | <tr> | 122 | <tr> |
103 | <th width="100">个人年收入</th> | 123 | <th width="100">个人年收入</th> |
104 | <td> | 124 | <td> |
105 | - <input class="form-control" type="text" name="personage_year_income" | ||
106 | - id="personage_year_income" value="{$data.personage_year_income}" placeholder="请输入个人年收入"/> | 125 | + <select class="form-control" name="personage_year_income"> |
126 | + <option value='50000' <eq name="$data.personage_year_income" value="50000">selected</eq>>5万以下</option> | ||
127 | + <option value='100000' <eq name="$data.personage_year_income" value="100000">selected</eq>>5-15万</option> | ||
128 | + <option value='200000' <eq name="$data.personage_year_income" value="200000">selected</eq>>15-25万</option> | ||
129 | + <option value='250000' <eq name="$data.personage_year_income" value="250000">selected</eq>>25-35万</option> | ||
130 | + <option value='350000' <eq name="$data.personage_year_income" value="350000">selected</eq>>35万以上</option> | ||
131 | + </select> | ||
107 | </td> | 132 | </td> |
108 | </tr> | 133 | </tr> |
109 | <tr> | 134 | <tr> |
110 | <th width="100">有无负债</th> | 135 | <th width="100">有无负债</th> |
111 | <td> | 136 | <td> |
112 | - <input class="form-control" type="text" name="liabilities" | ||
113 | - id="liabilities" value="{$data.liabilities}" placeholder="请输入有无负债"/> | 137 | + <label><input type="radio" name="liabilities" value="有" <eq name="$data.liabilities" value="有">checked</eq> />有</label> |
138 | + <label><input type="radio" name="liabilities" value="无" <eq name="$data.liabilities" value="无">checked</eq> />无</label> | ||
114 | </td> | 139 | </td> |
115 | </tr> | 140 | </tr> |
116 | <tr> | 141 | <tr> |
117 | <th width="100">大约未还负债</th> | 142 | <th width="100">大约未还负债</th> |
118 | <td> | 143 | <td> |
119 | - <input class="form-control" type="text" name="not_return" | ||
120 | - id="not_return" value="{$data.not_return}" placeholder="请输入大约未还负债"/> | 144 | + <select class="form-control" name="not_return"> |
145 | + <option value='0' <eq name="$data.not_return" value="0">selected</eq>>无</option> | ||
146 | + <option value='100000' <eq name="$data.not_return" value="100000">selected</eq>>10-30万</option> | ||
147 | + <option value='150000' <eq name="$data.not_return" value="150000">selected</eq>>30-50万</option> | ||
148 | + <option value='750000' <eq name="$data.not_return" value="750000">selected</eq>>50-100万</option> | ||
149 | + <option value='1000000' <eq name="$data.not_return" value="1000000">selected</eq>>100万以上</option> | ||
150 | + </select> | ||
121 | </td> | 151 | </td> |
122 | </tr> | 152 | </tr> |
123 | <tr> | 153 | <tr> |
124 | <th width="100">有无家族病史</th> | 154 | <th width="100">有无家族病史</th> |
125 | <td> | 155 | <td> |
126 | - <input class="form-control" type="text" name="family_disease" | ||
127 | - id="family_disease" value="{$data.family_disease}" placeholder="请输入有无家族病史"/> | 156 | + <label><input type="radio" name="family_disease" value="有" <eq name="$data.family_disease" value="有">checked</eq> />有</label> |
157 | + <label><input type="radio" name="family_disease" value="无" <eq name="$data.family_disease" value="无">checked</eq> />无</label> | ||
128 | </td> | 158 | </td> |
129 | </tr> | 159 | </tr> |
130 | <tr> | 160 | <tr> |
@@ -132,6 +162,10 @@ | @@ -132,6 +162,10 @@ | ||
132 | <td> | 162 | <td> |
133 | <input class="form-control" type="text" name="safeguard" | 163 | <input class="form-control" type="text" name="safeguard" |
134 | id="safeguard" value="{$data.safeguard}" placeholder="请输入保障"/> | 164 | id="safeguard" value="{$data.safeguard}" placeholder="请输入保障"/> |
165 | + <php>$safeguard=explode(',',$data.safeguard);</php> | ||
166 | + <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> | ||
167 | + <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> | ||
168 | + <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> | ||
135 | </td> | 169 | </td> |
136 | </tr> | 170 | </tr> |
137 | <tr> | 171 | <tr> |
-
请 注册 或 登录 后发表评论