2025-11-07 19:47:18 +00:00
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"use client";
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import { useState } from "react";
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import { Button } from "@/components/ui/button";
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2025-11-13 11:10:00 +00:00
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import { useAppTheme } from "@/components/ThemeProvider";
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2025-11-07 19:47:18 +00:00
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import { Input } from "@/components/ui/input";
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import {
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Select,
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SelectContent,
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SelectItem,
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SelectTrigger,
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SelectValue,
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} from "@/components/ui/select";
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import {
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Calendar,
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Clock,
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User,
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Mail,
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Phone,
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MessageSquare,
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ArrowLeft,
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Heart,
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CheckCircle2,
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CheckCircle,
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Loader2,
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2025-11-07 19:47:18 +00:00
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} from "lucide-react";
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import Link from "next/link";
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import Image from "next/image";
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import { useRouter } from "next/navigation";
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2025-11-07 20:19:08 +00:00
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import { LoginDialog } from "@/components/LoginDialog";
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interface User {
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ID: number;
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CreatedAt?: string;
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UpdatedAt?: string;
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DeletedAt?: string | null;
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first_name: string;
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last_name: string;
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email: string;
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phone: string;
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location: string;
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date_of_birth?: string;
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is_admin?: boolean;
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bookings?: null;
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}
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interface Booking {
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ID: number;
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CreatedAt: string;
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UpdatedAt: string;
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DeletedAt: string | null;
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user_id: number;
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user: User;
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scheduled_at: string;
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duration: number;
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status: string;
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jitsi_room_id: string;
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jitsi_room_url: string;
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payment_id: string;
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payment_status: string;
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amount: number;
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notes: string;
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}
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interface BookingsResponse {
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bookings: Booking[];
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limit: number;
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offset: number;
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total: number;
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}
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export default function BookNowPage() {
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const router = useRouter();
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const { theme } = useAppTheme();
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const isDark = theme === "dark";
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const [formData, setFormData] = useState({
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firstName: "",
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lastName: "",
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email: "",
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phone: "",
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appointmentType: "",
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preferredDate: "",
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preferredTime: "",
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message: "",
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});
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const [loading, setLoading] = useState(false);
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const [booking, setBooking] = useState<Booking | null>(null);
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const [error, setError] = useState<string | null>(null);
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const [showLoginDialog, setShowLoginDialog] = useState(false);
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2025-11-13 13:20:04 +00:00
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// Handle submit button click
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const handleSubmit = async (e: React.FormEvent) => {
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e.preventDefault();
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// Open login dialog instead of submitting directly
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setShowLoginDialog(true);
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};
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const handleLoginSuccess = async () => {
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// After successful login, proceed with booking submission
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await submitBooking();
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};
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const submitBooking = async () => {
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setLoading(true);
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setError(null);
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try {
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// Convert time to 24-hour format for ISO string
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const time24 = formData.preferredTime.includes("PM")
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? formData.preferredTime.replace("PM", "").trim().split(":").map((v, i) =>
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i === 0 ? (parseInt(v) === 12 ? 12 : parseInt(v) + 12) : v
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).join(":")
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: formData.preferredTime.replace("AM", "").trim().split(":").map((v, i) =>
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i === 0 ? (parseInt(v) === 12 ? "00" : v.padStart(2, "0")) : v
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).join(":");
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// Combine date and time into scheduled_at (ISO format)
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const dateTimeString = `${formData.preferredDate}T${time24}:00Z`;
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// Prepare request payload
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const payload = {
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first_name: formData.firstName,
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last_name: formData.lastName,
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email: formData.email,
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phone: formData.phone,
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appointment_type: formData.appointmentType,
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scheduled_at: dateTimeString,
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duration: 60, // Default to 60 minutes
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notes: formData.message || "",
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};
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// Simulate API call - Replace with actual API endpoint
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const response = await fetch("/api/bookings", {
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method: "POST",
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headers: {
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"Content-Type": "application/json",
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},
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body: JSON.stringify(payload),
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}).catch(() => {
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// Fallback to mock data if API is not available
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return null;
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});
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let bookingData: Booking;
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if (response && response.ok) {
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const data: BookingsResponse = await response.json();
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bookingData = data.bookings[0];
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} else {
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// Mock response for development - matches the API structure provided
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await new Promise((resolve) => setTimeout(resolve, 1000));
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bookingData = {
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ID: Math.floor(Math.random() * 1000),
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CreatedAt: new Date().toISOString(),
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UpdatedAt: new Date().toISOString(),
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DeletedAt: null,
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user_id: 1,
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user: {
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ID: 1,
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CreatedAt: new Date().toISOString(),
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UpdatedAt: new Date().toISOString(),
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DeletedAt: null,
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first_name: formData.firstName,
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last_name: formData.lastName,
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email: formData.email,
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phone: formData.phone,
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location: "",
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date_of_birth: "0001-01-01T00:00:00Z",
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is_admin: false,
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bookings: null,
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},
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scheduled_at: dateTimeString,
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duration: 60,
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status: "scheduled",
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jitsi_room_id: `booking-${Math.floor(Math.random() * 1000)}-${Date.now()}-${Math.random().toString(36).substr(2, 9)}`,
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jitsi_room_url: `https://meet.jit.si/booking-${Math.floor(Math.random() * 1000)}-${Date.now()}-${Math.random().toString(36).substr(2, 9)}`,
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payment_id: "",
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payment_status: "pending",
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amount: 52,
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notes: formData.message || "Initial consultation session",
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};
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}
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setBooking(bookingData);
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setLoading(false);
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// Redirect to home after 2 seconds
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setTimeout(() => {
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router.push("/");
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}, 2000);
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} catch (err) {
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setError("Failed to submit booking. Please try again.");
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setLoading(false);
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console.error("Booking error:", err);
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}
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};
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const handleChange = (field: string, value: string) => {
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setFormData((prev) => ({ ...prev, [field]: value }));
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};
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const formatDateTime = (dateString: string) => {
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const date = new Date(dateString);
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return date.toLocaleString("en-US", {
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month: "short",
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day: "numeric",
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year: "numeric",
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hour: "numeric",
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minute: "2-digit",
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hour12: true,
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});
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};
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return (
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<div className={`min-h-screen ${isDark ? 'bg-gray-900' : 'bg-white'}`}>
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{/* Main Content */}
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<main className="min-h-screen flex">
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{/* Left Side - Image (Fixed) */}
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<div className={`hidden lg:block fixed top-0 left-0 h-screen w-1/2 overflow-hidden z-10 bg-gradient-to-br ${isDark ? 'from-gray-900 via-gray-800 to-gray-900' : 'from-rose-100 via-pink-50 to-orange-50'}`}>
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<div className="absolute inset-0">
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<Image
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src="/doctors.png"
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alt="Therapy session"
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fill
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className="object-cover"
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priority
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sizes="50vw"
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/>
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<div className="absolute inset-0 bg-black/50"></div>
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</div>
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{/* Logo at Top */}
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<div className="absolute top-0 left-0 right-0 z-20 flex items-center p-6">
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<Link href="/" className="flex items-center gap-2">
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<div className="bg-gradient-to-r from-rose-500 to-pink-600 p-2 rounded-xl">
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<Heart className="h-5 w-5 text-white fill-white" />
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</div>
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<span className={`font-bold text-lg drop-shadow-lg ${isDark ? 'text-rose-400' : 'text-rose-500'}`}>
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Attune Heart Therapy
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</span>
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</Link>
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</div>
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{/* Overlay Content - Lower Position */}
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<div className="relative z-10 w-full h-full flex items-end justify-center px-12 pb-20">
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<div className="space-y-4 text-center max-w-sm">
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<h2 className="text-xl md:text-2xl font-bold leading-tight text-white drop-shadow-lg">
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Begin Your Journey to Wellness
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</h2>
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<p className="text-sm md:text-base text-white/95 leading-relaxed drop-shadow-md">
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Take the first step towards healing and growth. Our compassionate team is here to support you every step of the way.
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</p>
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{/* Features List */}
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<div className="space-y-2 pt-3">
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<div className="flex items-center justify-center gap-2">
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<div className="w-7 h-7 rounded-full bg-white/20 backdrop-blur-sm flex items-center justify-center flex-shrink-0 border border-white/30">
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<CheckCircle2 className="w-3.5 h-3.5 text-white" />
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</div>
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<span className="text-white/95 text-xs md:text-sm">Safe and confidential environment</span>
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</div>
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<div className="flex items-center justify-center gap-2">
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<div className="w-7 h-7 rounded-full bg-white/20 backdrop-blur-sm flex items-center justify-center flex-shrink-0 border border-white/30">
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<CheckCircle2 className="w-3.5 h-3.5 text-white" />
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</div>
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<span className="text-white/95 text-xs md:text-sm">Experienced licensed therapists</span>
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</div>
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<div className="flex items-center justify-center gap-2">
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<div className="w-7 h-7 rounded-full bg-white/20 backdrop-blur-sm flex items-center justify-center flex-shrink-0 border border-white/30">
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<CheckCircle2 className="w-3.5 h-3.5 text-white" />
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</div>
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<span className="text-white/95 text-xs md:text-sm">Personalized treatment plans</span>
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</div>
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<div className="flex items-center justify-center gap-2">
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<div className="w-7 h-7 rounded-full bg-white/20 backdrop-blur-sm flex items-center justify-center flex-shrink-0 border border-white/30">
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<CheckCircle2 className="w-3.5 h-3.5 text-white" />
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</div>
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<span className="text-white/95 text-xs md:text-sm">Flexible scheduling options</span>
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</div>
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</div>
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</div>
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</div>
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</div>
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{/* Right Side - Form (Scrollable) */}
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<div className={`w-full lg:w-1/2 lg:ml-auto fixed top-0 right-0 h-screen overflow-y-auto custom-scrollbar ${isDark ? 'bg-gray-900' : 'bg-white'}`}>
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<div className="flex items-start justify-center min-h-full">
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<div className="w-full max-w-2xl">
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{/* Page Header */}
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<div className="pt-4 sm:pt-6 lg:pt-8 px-4 sm:px-6 lg:px-12 pb-4 sm:pb-6">
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<Button
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variant="ghost"
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onClick={() => router.back()}
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className={`flex items-center gap-2 mb-3 sm:mb-4 ${isDark ? 'text-white hover:bg-gray-800' : 'text-black hover:bg-gray-100'}`}
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>
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<ArrowLeft className="w-4 h-4 sm:w-5 sm:h-5" />
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<span className="hidden sm:inline text-sm sm:text-base">Back</span>
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</Button>
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|
|
<div>
|
2025-11-13 11:10:00 +00:00
|
|
|
<h1 className={`text-xl sm:text-2xl font-semibold mb-1 ${isDark ? 'text-white' : 'text-gray-900'}`}>
|
2025-11-07 19:47:18 +00:00
|
|
|
Book Your Appointment
|
|
|
|
|
</h1>
|
2025-11-13 11:10:00 +00:00
|
|
|
<p className={`text-xs sm:text-sm ${isDark ? 'text-gray-400' : 'text-gray-500'}`}>
|
2025-11-07 19:47:18 +00:00
|
|
|
Fill out the form below and we'll get back to you to confirm your appointment
|
|
|
|
|
</p>
|
|
|
|
|
</div>
|
|
|
|
|
</div>
|
|
|
|
|
|
2025-11-07 20:19:08 +00:00
|
|
|
{/* Booking Form or Success Message */}
|
2025-11-13 11:10:00 +00:00
|
|
|
<div className="px-4 sm:px-6 lg:px-12 pb-6 sm:pb-8 lg:pb-12">
|
2025-11-07 20:19:08 +00:00
|
|
|
{booking ? (
|
2025-11-13 11:10:00 +00:00
|
|
|
<div className={`rounded-xl sm:rounded-2xl shadow-lg p-4 sm:p-6 lg:p-8 border ${isDark ? 'bg-gray-800 border-gray-700' : 'bg-white border-gray-200'}`}>
|
2025-11-07 20:19:08 +00:00
|
|
|
<div className="text-center space-y-4">
|
2025-11-13 11:10:00 +00:00
|
|
|
<div className={`mx-auto w-16 h-16 rounded-full flex items-center justify-center ${isDark ? 'bg-green-900/30' : 'bg-green-100'}`}>
|
|
|
|
|
<CheckCircle className={`w-8 h-8 ${isDark ? 'text-green-400' : 'text-green-600'}`} />
|
2025-11-07 20:19:08 +00:00
|
|
|
</div>
|
|
|
|
|
<div>
|
2025-11-13 11:10:00 +00:00
|
|
|
<h2 className={`text-2xl font-semibold mb-2 ${isDark ? 'text-white' : 'text-gray-900'}`}>
|
2025-11-07 20:19:08 +00:00
|
|
|
Booking Confirmed!
|
|
|
|
|
</h2>
|
2025-11-13 11:10:00 +00:00
|
|
|
<p className={isDark ? 'text-gray-300' : 'text-gray-600'}>
|
2025-11-07 20:19:08 +00:00
|
|
|
Your appointment has been successfully booked.
|
|
|
|
|
</p>
|
|
|
|
|
</div>
|
2025-11-13 11:10:00 +00:00
|
|
|
<div className={`rounded-lg p-6 space-y-4 text-left ${isDark ? 'bg-gray-700/50' : 'bg-gray-50'}`}>
|
2025-11-07 20:19:08 +00:00
|
|
|
<div>
|
2025-11-13 11:10:00 +00:00
|
|
|
<p className={`text-sm font-medium mb-1 ${isDark ? 'text-gray-400' : 'text-gray-500'}`}>Booking ID</p>
|
|
|
|
|
<p className={`text-base font-semibold ${isDark ? 'text-white' : 'text-gray-900'}`}>#{booking.ID}</p>
|
2025-11-07 20:19:08 +00:00
|
|
|
</div>
|
|
|
|
|
<div>
|
2025-11-13 11:10:00 +00:00
|
|
|
<p className={`text-sm font-medium mb-1 ${isDark ? 'text-gray-400' : 'text-gray-500'}`}>Patient</p>
|
|
|
|
|
<p className={`text-base ${isDark ? 'text-white' : 'text-gray-900'}`}>
|
2025-11-07 20:19:08 +00:00
|
|
|
{booking.user.first_name} {booking.user.last_name}
|
|
|
|
|
</p>
|
|
|
|
|
</div>
|
|
|
|
|
<div>
|
2025-11-13 11:10:00 +00:00
|
|
|
<p className={`text-sm font-medium mb-1 ${isDark ? 'text-gray-400' : 'text-gray-500'}`}>Scheduled Time</p>
|
|
|
|
|
<p className={`text-base ${isDark ? 'text-white' : 'text-gray-900'}`}>{formatDateTime(booking.scheduled_at)}</p>
|
2025-11-07 20:19:08 +00:00
|
|
|
</div>
|
|
|
|
|
<div>
|
2025-11-13 11:10:00 +00:00
|
|
|
<p className={`text-sm font-medium mb-1 ${isDark ? 'text-gray-400' : 'text-gray-500'}`}>Duration</p>
|
|
|
|
|
<p className={`text-base ${isDark ? 'text-white' : 'text-gray-900'}`}>{booking.duration} minutes</p>
|
2025-11-07 20:19:08 +00:00
|
|
|
</div>
|
|
|
|
|
<div>
|
2025-11-13 11:10:00 +00:00
|
|
|
<p className={`text-sm font-medium mb-1 ${isDark ? 'text-gray-400' : 'text-gray-500'}`}>Status</p>
|
|
|
|
|
<span className={`inline-flex items-center px-3 py-1 rounded-full text-sm font-medium ${isDark ? 'bg-blue-900/50 text-blue-200' : 'bg-blue-100 text-blue-800'}`}>
|
2025-11-07 20:19:08 +00:00
|
|
|
{booking.status}
|
|
|
|
|
</span>
|
|
|
|
|
</div>
|
|
|
|
|
<div>
|
2025-11-13 11:10:00 +00:00
|
|
|
<p className={`text-sm font-medium mb-1 ${isDark ? 'text-gray-400' : 'text-gray-500'}`}>Amount</p>
|
|
|
|
|
<p className={`text-base font-semibold ${isDark ? 'text-white' : 'text-gray-900'}`}>${booking.amount}</p>
|
2025-11-07 20:19:08 +00:00
|
|
|
</div>
|
|
|
|
|
{booking.notes && (
|
|
|
|
|
<div>
|
2025-11-13 11:10:00 +00:00
|
|
|
<p className={`text-sm font-medium mb-1 ${isDark ? 'text-gray-400' : 'text-gray-500'}`}>Notes</p>
|
|
|
|
|
<p className={`text-base ${isDark ? 'text-white' : 'text-gray-900'}`}>{booking.notes}</p>
|
2025-11-07 20:19:08 +00:00
|
|
|
</div>
|
|
|
|
|
)}
|
|
|
|
|
</div>
|
|
|
|
|
<div className="pt-4 flex flex-col sm:flex-row gap-3 justify-center">
|
|
|
|
|
<Button
|
|
|
|
|
onClick={() => {
|
|
|
|
|
setBooking(null);
|
|
|
|
|
setFormData({
|
|
|
|
|
firstName: "",
|
|
|
|
|
lastName: "",
|
|
|
|
|
email: "",
|
|
|
|
|
phone: "",
|
|
|
|
|
appointmentType: "",
|
|
|
|
|
preferredDate: "",
|
|
|
|
|
preferredTime: "",
|
|
|
|
|
message: "",
|
|
|
|
|
});
|
|
|
|
|
}}
|
|
|
|
|
variant="outline"
|
|
|
|
|
>
|
|
|
|
|
Book Another Appointment
|
|
|
|
|
</Button>
|
|
|
|
|
<Button
|
|
|
|
|
onClick={() => router.push("/")}
|
|
|
|
|
className="bg-gradient-to-r from-rose-500 to-pink-600 hover:from-rose-600 hover:to-pink-700 text-white"
|
|
|
|
|
>
|
|
|
|
|
Return to Home
|
|
|
|
|
</Button>
|
|
|
|
|
</div>
|
|
|
|
|
</div>
|
|
|
|
|
</div>
|
|
|
|
|
) : (
|
|
|
|
|
<>
|
2025-11-13 11:10:00 +00:00
|
|
|
<div className={`rounded-xl sm:rounded-2xl shadow-lg p-4 sm:p-6 lg:p-8 border ${isDark ? 'bg-gray-800 border-gray-700' : 'bg-white border-gray-200'}`}>
|
2025-11-07 20:19:08 +00:00
|
|
|
{error && (
|
2025-11-13 11:10:00 +00:00
|
|
|
<div className={`mb-6 p-4 rounded-lg border ${isDark ? 'bg-red-900/20 border-red-800' : 'bg-red-50 border-red-200'}`}>
|
|
|
|
|
<p className={`text-sm ${isDark ? 'text-red-200' : 'text-red-800'}`}>{error}</p>
|
2025-11-07 20:19:08 +00:00
|
|
|
</div>
|
|
|
|
|
)}
|
|
|
|
|
<form onSubmit={handleSubmit} className="space-y-6">
|
2025-11-07 19:47:18 +00:00
|
|
|
{/* Personal Information Section */}
|
|
|
|
|
<div className="space-y-4">
|
2025-11-13 11:10:00 +00:00
|
|
|
<h2 className={`text-lg font-semibold flex items-center gap-2 ${isDark ? 'text-white' : 'text-gray-900'}`}>
|
|
|
|
|
<User className={`w-5 h-5 ${isDark ? 'text-rose-400' : 'text-rose-600'}`} />
|
2025-11-07 19:47:18 +00:00
|
|
|
Personal Information
|
|
|
|
|
</h2>
|
|
|
|
|
|
|
|
|
|
<div className="grid grid-cols-1 sm:grid-cols-2 gap-4">
|
|
|
|
|
<div className="space-y-2">
|
|
|
|
|
<label
|
|
|
|
|
htmlFor="firstName"
|
2025-11-13 11:10:00 +00:00
|
|
|
className={`text-sm font-medium ${isDark ? 'text-gray-300' : 'text-gray-700'}`}
|
2025-11-07 19:47:18 +00:00
|
|
|
>
|
|
|
|
|
First Name *
|
|
|
|
|
</label>
|
|
|
|
|
<Input
|
|
|
|
|
id="firstName"
|
|
|
|
|
type="text"
|
|
|
|
|
placeholder="John"
|
|
|
|
|
value={formData.firstName}
|
|
|
|
|
onChange={(e) =>
|
|
|
|
|
handleChange("firstName", e.target.value)
|
|
|
|
|
}
|
|
|
|
|
required
|
2025-11-13 11:10:00 +00:00
|
|
|
className={`h-11 ${isDark ? 'bg-gray-700 border-gray-600 text-white placeholder:text-gray-400' : 'bg-white border-gray-300 text-gray-900 placeholder:text-gray-500'}`}
|
2025-11-07 19:47:18 +00:00
|
|
|
/>
|
|
|
|
|
</div>
|
|
|
|
|
|
|
|
|
|
<div className="space-y-2">
|
|
|
|
|
<label
|
|
|
|
|
htmlFor="lastName"
|
2025-11-13 11:10:00 +00:00
|
|
|
className={`text-sm font-medium ${isDark ? 'text-gray-300' : 'text-gray-700'}`}
|
2025-11-07 19:47:18 +00:00
|
|
|
>
|
|
|
|
|
Last Name *
|
|
|
|
|
</label>
|
|
|
|
|
<Input
|
|
|
|
|
id="lastName"
|
|
|
|
|
type="text"
|
|
|
|
|
placeholder="Doe"
|
|
|
|
|
value={formData.lastName}
|
|
|
|
|
onChange={(e) =>
|
|
|
|
|
handleChange("lastName", e.target.value)
|
|
|
|
|
}
|
|
|
|
|
required
|
2025-11-13 11:10:00 +00:00
|
|
|
className={`h-11 ${isDark ? 'bg-gray-700 border-gray-600 text-white placeholder:text-gray-400' : 'bg-white border-gray-300 text-gray-900 placeholder:text-gray-500'}`}
|
2025-11-07 19:47:18 +00:00
|
|
|
/>
|
|
|
|
|
</div>
|
|
|
|
|
</div>
|
|
|
|
|
|
|
|
|
|
<div className="space-y-2">
|
|
|
|
|
<label
|
|
|
|
|
htmlFor="email"
|
2025-11-13 11:10:00 +00:00
|
|
|
className={`text-sm font-medium flex items-center gap-2 ${isDark ? 'text-gray-300' : 'text-gray-700'}`}
|
2025-11-07 19:47:18 +00:00
|
|
|
>
|
2025-11-13 11:10:00 +00:00
|
|
|
<Mail className={`w-4 h-4 ${isDark ? 'text-gray-400' : 'text-gray-500'}`} />
|
2025-11-07 19:47:18 +00:00
|
|
|
Email Address *
|
|
|
|
|
</label>
|
|
|
|
|
<Input
|
|
|
|
|
id="email"
|
|
|
|
|
type="email"
|
|
|
|
|
placeholder="john.doe@example.com"
|
|
|
|
|
value={formData.email}
|
|
|
|
|
onChange={(e) => handleChange("email", e.target.value)}
|
|
|
|
|
required
|
2025-11-13 11:10:00 +00:00
|
|
|
className={`h-11 ${isDark ? 'bg-gray-700 border-gray-600 text-white placeholder:text-gray-400' : 'bg-white border-gray-300 text-gray-900 placeholder:text-gray-500'}`}
|
2025-11-07 19:47:18 +00:00
|
|
|
/>
|
|
|
|
|
</div>
|
|
|
|
|
|
|
|
|
|
<div className="space-y-2">
|
|
|
|
|
<label
|
|
|
|
|
htmlFor="phone"
|
2025-11-13 11:10:00 +00:00
|
|
|
className={`text-sm font-medium flex items-center gap-2 ${isDark ? 'text-gray-300' : 'text-gray-700'}`}
|
2025-11-07 19:47:18 +00:00
|
|
|
>
|
2025-11-13 11:10:00 +00:00
|
|
|
<Phone className={`w-4 h-4 ${isDark ? 'text-gray-400' : 'text-gray-500'}`} />
|
2025-11-07 19:47:18 +00:00
|
|
|
Phone Number *
|
|
|
|
|
</label>
|
|
|
|
|
<Input
|
|
|
|
|
id="phone"
|
|
|
|
|
type="tel"
|
|
|
|
|
placeholder="+1 (555) 123-4567"
|
|
|
|
|
value={formData.phone}
|
|
|
|
|
onChange={(e) => handleChange("phone", e.target.value)}
|
|
|
|
|
required
|
2025-11-13 11:10:00 +00:00
|
|
|
className={`h-11 ${isDark ? 'bg-gray-700 border-gray-600 text-white placeholder:text-gray-400' : 'bg-white border-gray-300 text-gray-900 placeholder:text-gray-500'}`}
|
2025-11-07 19:47:18 +00:00
|
|
|
/>
|
|
|
|
|
</div>
|
|
|
|
|
</div>
|
|
|
|
|
|
|
|
|
|
{/* Appointment Details Section */}
|
2025-11-13 11:10:00 +00:00
|
|
|
<div className={`space-y-4 pt-6 border-t ${isDark ? 'border-gray-700' : 'border-gray-200'}`}>
|
|
|
|
|
<h2 className={`text-lg font-semibold flex items-center gap-2 ${isDark ? 'text-white' : 'text-gray-900'}`}>
|
|
|
|
|
<Calendar className={`w-5 h-5 ${isDark ? 'text-rose-400' : 'text-rose-600'}`} />
|
2025-11-07 19:47:18 +00:00
|
|
|
Appointment Details
|
|
|
|
|
</h2>
|
|
|
|
|
|
|
|
|
|
<div className="space-y-2">
|
|
|
|
|
<label
|
|
|
|
|
htmlFor="appointmentType"
|
2025-11-13 11:10:00 +00:00
|
|
|
className={`text-sm font-medium ${isDark ? 'text-gray-300' : 'text-gray-700'}`}
|
2025-11-07 19:47:18 +00:00
|
|
|
>
|
|
|
|
|
Appointment Type *
|
|
|
|
|
</label>
|
|
|
|
|
<Select
|
|
|
|
|
value={formData.appointmentType}
|
|
|
|
|
onValueChange={(value) =>
|
|
|
|
|
handleChange("appointmentType", value)
|
|
|
|
|
}
|
|
|
|
|
required
|
|
|
|
|
>
|
2025-11-13 11:10:00 +00:00
|
|
|
<SelectTrigger id="appointmentType" className={`h-11 ${isDark ? 'bg-gray-700 border-gray-600 text-white' : 'bg-white border-gray-300 text-gray-900'}`}>
|
2025-11-07 19:47:18 +00:00
|
|
|
<SelectValue placeholder="Select appointment type" />
|
|
|
|
|
</SelectTrigger>
|
2025-11-13 11:10:00 +00:00
|
|
|
<SelectContent className={isDark ? 'bg-gray-700 border-gray-600' : 'bg-white border-gray-300'}>
|
2025-11-07 19:47:18 +00:00
|
|
|
<SelectItem value="initial-consultation">
|
|
|
|
|
Initial Consultation
|
|
|
|
|
</SelectItem>
|
|
|
|
|
<SelectItem value="individual-therapy">
|
|
|
|
|
Individual Therapy
|
|
|
|
|
</SelectItem>
|
|
|
|
|
<SelectItem value="family-therapy">Family Therapy</SelectItem>
|
|
|
|
|
<SelectItem value="couples-therapy">
|
|
|
|
|
Couples Therapy
|
|
|
|
|
</SelectItem>
|
|
|
|
|
<SelectItem value="group-therapy">Group Therapy</SelectItem>
|
|
|
|
|
<SelectItem value="follow-up">Follow-up Session</SelectItem>
|
|
|
|
|
</SelectContent>
|
|
|
|
|
</Select>
|
|
|
|
|
</div>
|
|
|
|
|
|
|
|
|
|
<div className="grid grid-cols-1 sm:grid-cols-2 gap-4">
|
|
|
|
|
<div className="space-y-2">
|
|
|
|
|
<label
|
|
|
|
|
htmlFor="preferredDate"
|
2025-11-13 11:10:00 +00:00
|
|
|
className={`text-sm font-medium flex items-center gap-2 ${isDark ? 'text-gray-300' : 'text-gray-700'}`}
|
2025-11-07 19:47:18 +00:00
|
|
|
>
|
2025-11-13 11:10:00 +00:00
|
|
|
<Calendar className={`w-4 h-4 ${isDark ? 'text-gray-400' : 'text-gray-500'}`} />
|
2025-11-07 19:47:18 +00:00
|
|
|
Preferred Date *
|
|
|
|
|
</label>
|
|
|
|
|
<Input
|
|
|
|
|
id="preferredDate"
|
|
|
|
|
type="date"
|
|
|
|
|
value={formData.preferredDate}
|
|
|
|
|
onChange={(e) =>
|
|
|
|
|
handleChange("preferredDate", e.target.value)
|
|
|
|
|
}
|
|
|
|
|
required
|
|
|
|
|
min={new Date().toISOString().split("T")[0]}
|
2025-11-13 11:10:00 +00:00
|
|
|
className={`h-11 ${isDark ? 'bg-gray-700 border-gray-600 text-white' : 'bg-white border-gray-300 text-gray-900'}`}
|
2025-11-07 19:47:18 +00:00
|
|
|
/>
|
|
|
|
|
</div>
|
|
|
|
|
|
|
|
|
|
<div className="space-y-2">
|
|
|
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|
<label
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|
|
htmlFor="preferredTime"
|
2025-11-13 11:10:00 +00:00
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className={`text-sm font-medium flex items-center gap-2 ${isDark ? 'text-gray-300' : 'text-gray-700'}`}
|
2025-11-07 19:47:18 +00:00
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>
|
2025-11-13 11:10:00 +00:00
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|
<Clock className={`w-4 h-4 ${isDark ? 'text-gray-400' : 'text-gray-500'}`} />
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2025-11-07 19:47:18 +00:00
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|
Preferred Time *
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</label>
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|
|
<Select
|
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|
|
value={formData.preferredTime}
|
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|
|
onValueChange={(value) =>
|
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|
|
handleChange("preferredTime", value)
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}
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required
|
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|
>
|
2025-11-13 11:10:00 +00:00
|
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|
<SelectTrigger id="preferredTime" className={`h-11 ${isDark ? 'bg-gray-700 border-gray-600 text-white' : 'bg-white border-gray-300 text-gray-900'}`}>
|
2025-11-07 19:47:18 +00:00
|
|
|
<SelectValue placeholder="Select time" />
|
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|
|
|
</SelectTrigger>
|
2025-11-13 11:10:00 +00:00
|
|
|
<SelectContent className={isDark ? 'bg-gray-700 border-gray-600' : 'bg-white border-gray-300'}>
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2025-11-07 19:47:18 +00:00
|
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|
<SelectItem value="9:00 AM">9:00 AM</SelectItem>
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<SelectItem value="10:00 AM">10:00 AM</SelectItem>
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|
<SelectItem value="11:00 AM">11:00 AM</SelectItem>
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|
<SelectItem value="12:00 PM">12:00 PM</SelectItem>
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|
|
|
<SelectItem value="1:00 PM">1:00 PM</SelectItem>
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|
|
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|
<SelectItem value="2:00 PM">2:00 PM</SelectItem>
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|
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|
<SelectItem value="3:00 PM">3:00 PM</SelectItem>
|
|
|
|
|
<SelectItem value="4:00 PM">4:00 PM</SelectItem>
|
|
|
|
|
<SelectItem value="5:00 PM">5:00 PM</SelectItem>
|
|
|
|
|
</SelectContent>
|
|
|
|
|
</Select>
|
|
|
|
|
</div>
|
|
|
|
|
</div>
|
|
|
|
|
</div>
|
|
|
|
|
|
|
|
|
|
{/* Additional Message Section */}
|
2025-11-13 11:10:00 +00:00
|
|
|
<div className={`space-y-4 pt-6 border-t ${isDark ? 'border-gray-700' : 'border-gray-200'}`}>
|
2025-11-07 19:47:18 +00:00
|
|
|
<label
|
|
|
|
|
htmlFor="message"
|
2025-11-13 11:10:00 +00:00
|
|
|
className={`text-sm font-medium flex items-center gap-2 ${isDark ? 'text-gray-300' : 'text-gray-700'}`}
|
2025-11-07 19:47:18 +00:00
|
|
|
>
|
2025-11-13 11:10:00 +00:00
|
|
|
<MessageSquare className={`w-4 h-4 ${isDark ? 'text-gray-400' : 'text-gray-500'}`} />
|
2025-11-07 19:47:18 +00:00
|
|
|
Additional Message (Optional)
|
|
|
|
|
</label>
|
|
|
|
|
<textarea
|
|
|
|
|
id="message"
|
|
|
|
|
rows={4}
|
|
|
|
|
placeholder="Tell us about any specific concerns or preferences..."
|
|
|
|
|
value={formData.message}
|
|
|
|
|
onChange={(e) => handleChange("message", e.target.value)}
|
2025-11-13 11:10:00 +00:00
|
|
|
className={`w-full rounded-md border px-3 py-2 text-sm shadow-sm transition-colors focus-visible:outline-none focus-visible:ring-1 focus-visible:ring-rose-500 focus-visible:border-rose-500 disabled:cursor-not-allowed disabled:opacity-50 ${isDark ? 'border-gray-600 bg-gray-700 text-white placeholder:text-gray-400 focus-visible:ring-rose-400 focus-visible:border-rose-400' : 'border-gray-300 bg-white text-gray-900 placeholder:text-gray-500'}`}
|
2025-11-07 19:47:18 +00:00
|
|
|
/>
|
|
|
|
|
</div>
|
|
|
|
|
|
|
|
|
|
{/* Submit Button */}
|
|
|
|
|
<div className="pt-6">
|
|
|
|
|
<Button
|
|
|
|
|
type="submit"
|
|
|
|
|
size="lg"
|
2025-11-07 20:19:08 +00:00
|
|
|
disabled={loading}
|
|
|
|
|
className="w-full bg-gradient-to-r from-rose-500 to-pink-600 hover:from-rose-600 hover:to-pink-700 text-white shadow-lg hover:shadow-xl transition-all h-12 text-base font-semibold disabled:opacity-50 disabled:cursor-not-allowed"
|
2025-11-07 19:47:18 +00:00
|
|
|
>
|
2025-11-07 20:19:08 +00:00
|
|
|
{loading ? (
|
|
|
|
|
<>
|
|
|
|
|
<Loader2 className="w-4 h-4 mr-2 animate-spin" />
|
|
|
|
|
Submitting...
|
|
|
|
|
</>
|
|
|
|
|
) : (
|
|
|
|
|
"Submit Booking Request"
|
|
|
|
|
)}
|
2025-11-07 19:47:18 +00:00
|
|
|
</Button>
|
2025-11-13 11:10:00 +00:00
|
|
|
<p className={`text-xs text-center mt-4 ${isDark ? 'text-gray-400' : 'text-gray-500'}`}>
|
2025-11-07 19:47:18 +00:00
|
|
|
We'll review your request and get back to you within 24 hours
|
|
|
|
|
to confirm your appointment.
|
|
|
|
|
</p>
|
|
|
|
|
</div>
|
|
|
|
|
</form>
|
2025-11-07 20:19:08 +00:00
|
|
|
</div>
|
2025-11-07 19:47:18 +00:00
|
|
|
|
2025-11-07 20:19:08 +00:00
|
|
|
{/* Contact Information */}
|
|
|
|
|
<div className="mt-6 text-center">
|
2025-11-13 11:10:00 +00:00
|
|
|
<p className={isDark ? 'text-gray-300' : 'text-gray-600'}>
|
2025-11-07 20:19:08 +00:00
|
|
|
Prefer to book by phone?{" "}
|
|
|
|
|
<a
|
|
|
|
|
href="tel:+19548073027"
|
2025-11-13 11:10:00 +00:00
|
|
|
className={`font-medium underline ${isDark ? 'text-rose-400 hover:text-rose-300' : 'text-rose-600 hover:text-rose-700'}`}
|
2025-11-07 20:19:08 +00:00
|
|
|
>
|
|
|
|
|
Call us at (954) 807-3027
|
|
|
|
|
</a>
|
|
|
|
|
</p>
|
|
|
|
|
</div>
|
|
|
|
|
</>
|
|
|
|
|
)}
|
2025-11-07 19:47:18 +00:00
|
|
|
</div>
|
|
|
|
|
</div>
|
|
|
|
|
</div>
|
|
|
|
|
</div>
|
|
|
|
|
</main>
|
2025-11-07 20:19:08 +00:00
|
|
|
|
|
|
|
|
{/* Login Dialog */}
|
|
|
|
|
<LoginDialog
|
|
|
|
|
open={showLoginDialog}
|
|
|
|
|
onOpenChange={setShowLoginDialog}
|
|
|
|
|
onLoginSuccess={handleLoginSuccess}
|
|
|
|
|
/>
|
2025-11-07 19:47:18 +00:00
|
|
|
</div>
|
|
|
|
|
);
|
|
|
|
|
}
|
|
|
|
|
|