application_form.html 8.41 KB
<div class="application-form">
    <div class="application-tips">
        <h2>TIPS</h2>
        <p>{{formTip}}</p>
    </div>
    <div class="form">
        {{# form}}
        <form id="application-form" c-id="{{id}}" action="" onsubmit="return false;">
            <p class="clearfix">
                <label for="user-name">姓名:</label>
                <input id="userName" name="userName" class="char required" type="text" value="{{name}}">
            </p>
            <p class="clearfix">
                <label for="user-tell">手机:</label>
                <input id="userTell" name="userTell" class="char required" type="text" value="{{tell}}">
                <i class="verification-btn">获取验证码</i>
            </p>
            <p class="clearfix">
                <label for="user-verification">验证码:</label>
                <input id="userVerification" name="verification" class="required char" type="text">
                <i class="verification-icon">验证码错误</i>
            </p>
            <p class="address-char clearfix">
                <label for="user-address">地址:</label>
                <span id="userAddress" class="varchar" contentEditable="true">{{address}}</span>
                <!-- <input id="userAddress" class="varchar" type="text" value="{{address}}"> -->
            </p>
            <p class="clearfix">
                <label for="user-age">年龄:</label>
                <input id="userAge" name="age" class="char required" type="text" value="{{age}}">
            </p>
            <p class="gender-select clearfix">
                <label>性别:</label>
                <!-- <span class="select-item clearfix">
                    <input id="genderMale" class="gender radio" name="user-gender" type="radio" value="男" {{#if male}}checked{{/if}}>
                    <label class="radio-label {{#if male}}current{{/if}}" for="genderMale">男</label>
                </span>
                <span class="select-item clearfix">
                    <input id="genderFemale" class="gender radio" name="user-gender" type="radio" value="女">
                    <label class="radio-label {{#if female}}current{{/if}}" for="genderFemale">女</label>
                </span> -->
                {{#each gender}}
                <span class="select-item clearfix">
                    <input id="gender{{@index}}" class="gender radio" name="user-gender" type="radio" value="{{value}}" {{#if default}}checked{{/if}}>
                    <label class="radio-label {{#if default}}current{{/if}}" for="gender{{@index}}">{{value}}</label>
                </span>
                {{/each}}
            </p>
            <p class="skin-select clearfix">
                <label>肤质:</label>
                <!-- <span class="select-item clearfix">
                    <input id="skin1" class="radio checked" name="user-skin" type="radio" value="中性" checked>
                    <label class="radio-label radio-long-label current" for="skin1">中性</label>
                </span>
                <span class="select-item clearfix">
                    <input id="skin2" class="radio" name="user-skin" type="radio" value="干性">
                    <label class="radio-label radio-long-label" for="skin2">干性</label>
                </span>
                <span class="select-item clearfix">
                    <input id="skin3" class="radio" name="user-skin" type="radio" value="油性">
                    <label class="radio-label radio-long-label" for="skin3">油性</label>
                </span>
                <span class="select-item clearfix">
                    <input id="skin4" class="radio" name="user-skin" type="radio" value="混合">
                    <label class="radio-label radio-long-label" for="skin4">混合</label>
                </span>
                <span class="select-item clearfix">
                    <input id="skin5" class="radio" name="user-skin" type="radio" value="敏感">
                    <label class="radio-label radio-long-label" for="skin5">敏感</label>
                </span> -->
                {{#each skin}}
                <span class="select-item clearfix">
                    <input id="skin{{@index}}" class="radio" name="user-skin" type="radio" value="{{text}}" {{#if default}}checked{{/if}}>
                    <label class="radio-label radio-long-label {{#if default}}current{{/if}}" for="skin{{@index}}">{{text}}</label>
                </span>
                {{/each}}
            </p>
            <p class="clearfix">
                <label>您的问题</label>
            </p>
            <p class="trouble-wrap clearfix">
                <!-- <span class="select-item clearfix">
                    <input id="trouble1" class="checkbox" name="user-trouble" type="checkbox" value="干燥">
                    <em></em>
                    <label class="checkbox-label" for="trouble1">干燥</label>
                </span>
                <span class="select-item clearfix">
                    <input id="trouble2" class="checkbox" name="user-trouble" type="checkbox" value="过敏">
                    <em></em>
                    <label class="checkbox-label" for="trouble2">过敏</label>
                </span>
                <span class="select-item clearfix">
                    <input id="trouble3" class="checkbox" name="user-trouble" type="checkbox" value="松弛">
                    <em></em>
                    <label class="checkbox-label" for="trouble3">松弛</label>
                </span>
                <span class="select-item clearfix">
                    <input id="trouble4" class="checkbox" name="user-trouble" type="checkbox" value="细纹">
                    <em></em>
                    <label class="checkbox-label" for="trouble4">细纹</label>
                </span>
                <span class="select-item clearfix">
                    <input id="trouble5" class="checkbox" name="user-trouble" type="checkbox" value="出油">
                    <em></em>
                    <label class="checkbox-label" for="trouble5">出油</label>
                </span>
                <span class="select-item clearfix">
                    <input id="trouble6" class="checkbox" name="user-trouble" type="checkbox" value="痘痘">
                    <em></em>
                    <label class="checkbox-label" for="trouble6">痘痘</label>
                </span>
                <span class="select-item clearfix">
                    <input id="trouble7" class="checkbox" name="user-trouble" type="checkbox" value="红血丝">
                    <em></em>
                    <label class="checkbox-label" for="trouble7">红血丝</label>
                </span>
                <span class="select-item clearfix">
                    <input id="trouble8" class="checkbox" name="user-trouble" type="checkbox" value="色斑">
                    <em></em>
                    <label class="checkbox-label" for="trouble8">色斑</label>
                </span>
                <span class="select-item clearfix">
                    <input id="trouble9" class="checkbox" name="user-trouble" type="checkbox" value="肤色不均">
                    <em></em>
                    <label class="checkbox-label" for="trouble9">肤色不均</label>
                </span> -->
                {{#each problem}}
                <span class="select-item clearfix">
                    <input id="trouble{{@index}}" class="checkbox" name="user-trouble" type="checkbox" value="{{text}}" {{#if default}}checked{{/if}}>
                    <em class="{{#if default}}current{{/if}}"></em>
                    <label class="checkbox-label" for="trouble{{@index}}">{{text}}</label>
                </span>
                {{/each}}
            </p>
            <div class="application-reason-wrap">
                <div class="application-reason" contentEditable="true">
                    {{# reason}}
                        {{.}}
                    {{/ reason}}
                    {{^ reason}}
                    <span class="placeholder">你可以从肌肤现有问题,钟爱哪些产品等方面提交申请理由</span>
                    {{/ reason}}
                </div>
            </div>
            <!-- <p class="clearfix">
                <textarea class="application-reason"></textarea>
            </p> -->
            <p class="clearfix">
                <input id="submit-btn" class="submit-btn" type="submit" value="免费申请">
            </p>
        </form>
        {{/ form}}
    </div>
</div>