@extends('layoutsfrontend.master')

@section('content')
  
    <!-- Page Header Start -->
    <div class="page-header bg-section parallaxie">
        <div class="container">
            <div class="row align-items-center">
                <div class="col-lg-12">
                    <!-- Page Header Box Start -->
                    <div class="page-header-box">
                        <h1 class="text-anime-style-3" data-cursor="-opaque">Contact us</h1>
                        <nav class="wow fadeInUp">
                            <ol class="breadcrumb">
                                <li class="breadcrumb-item"><a href="index.html">home</a></li>
                                <li class="breadcrumb-item active" aria-current="page">Contact us</li>
                            </ol>
                        </nav>
                    </div>
                    <!-- Page Header Box End -->
                </div>
            </div>
        </div>
    </div>
    <!-- Page Header End -->

    <!-- Page Contact Us Start -->
    <div class="page-contact-us">
        <div class="container">
            <div class="row align-items-center">
                <div class="col-lg-6">
                    <!-- Contact Us Content Start -->
                    <div class="contact-us-content">
                        <!-- Section Title Start -->
                        <div class="section-title">
                            <h3 class="wow fadeInUp">contact us</h3>
                            <h2 class="text-anime-style-3" data-cursor="-opaque">Contact information</h2>
                            <p class="wow fadeInUp" data-wow-delay="0.2s">At our rehab clinic, we provide compassionate, evidence-based support each individual's journey toward lasting recovery.</p>
                        </div>
                        <!-- Section Title End -->

                        <!-- Contact Info Box Start -->
                        <div class="contact-info-box">
                            <!-- Contact Info List Start -->
                            <div class="contact-info-list">
                                <!-- Contact Info Item Start -->
                                <div class="contact-info-item wow fadeInUp" data-wow-delay="0.4s">
                                    <div class="icon-box">
                                        <img src="images/icon-phone.svg" alt="">
                                    </div>
                                    <div class="contact-item-content">
                                        <h3>Contact</h3>
                                        <p><a href="tel:246333085">+1 (246) 333-085</a></p>
                                        <p><a href="tel:123456789">+1 (123) 456-789</a></p>
                                    </div>
                                </div>
                                <!-- Contact Info Item End -->

                                <!-- Contact Info Item Start -->
                                <div class="contact-info-item wow fadeInUp" data-wow-delay="0.4s">
                                    <div class="icon-box">
                                        <img src="images/icon-mail.svg" alt="">
                                    </div>
                                    <div class="contact-item-content">
                                        <h3>Email</h3>
                                        <p><a href="mailto:info@domain.com">info@domain.com</a></p>
                                        <p><a href="mailto:support@domain.com">support@domain.com</a></p>
                                    </div>
                                </div>
                                <!-- Contact Info Item End -->

                                <!-- Contact Info Item Start -->
                                <div class="contact-info-item wow fadeInUp" data-wow-delay="0.6s">
                                    <div class="icon-box">
                                        <img src="images/icon-location.svg" alt="">
                                    </div>
                                    <div class="contact-item-content">
                                        <h3>Address</h3>
                                        <p>123 Creative, Design District, Central London</p>
                                    </div>
                                </div>
                                <!-- Contact Info Item End -->

                                <!-- Contact Info Item Start -->
                                <div class="contact-info-item wow fadeInUp" data-wow-delay="0.6s">
                                    <div class="icon-box">
                                        <img src="images/icon-clock.svg" alt="">
                                    </div>
                                    <div class="contact-item-content">
                                        <h3>Working hours</h3>
                                        <p>Sunday to Friday</p>
                                        <p>10AM to 05 AM</p>
                                    </div>
                                </div>
                                <!-- Contact Info Item End -->
                            </div>
                            <!-- Contact Info List End -->

                            <!-- Contact Social List Start -->
                            <div class="contact-social-links wow fadeInUp" data-wow-delay="0.8s">
                                <h3>Follow on social :</h3>
                                <ul>
                                    <li><a href="#"><i class="fa-brands fa-dribbble"></i></a></li>
                                    <li><a href="#"><i class="fa-brands fa-facebook-f"></i></a></li>
                                    <li><a href="#"><i class="fa-brands fa-linkedin-in"></i></a></li>
                                    <li><a href="#"><i class="fa-brands fa-instagram"></i></a></li>
                                </ul>
                            </div>
                            <!-- Contact Social List End -->
                        </div>
                        <!-- Contact Info Box End -->
                    </div>
                    <!-- Contact Us Content End -->                       
                </div>

                <div class="col-lg-6">
                    <!-- Contact Us Form Start -->
                    <div class="contact-us-form">
                        <!-- Section Title Start -->
                        <div class="section-title">
                            <h2 class="text-anime-style-3" data-cursor="-opaque">Get in touch with us</h2>
                        </div>
                        <!-- Section Title End -->

                        <!-- Contact Form Start -->
                        <div class="contact-form">
                            <form id="contactForm" action="#" method="POST" data-toggle="validator" class="wow fadeInUp" data-wow-delay="0.2s">
                                <div class="row">                                
                                    <div class="form-group col-md-6 mb-4">
                                        <input type="text" name="fname" class="form-control" id="fname" placeholder="First Name" required>
                                        <div class="help-block with-errors"></div>
                                    </div>

                                    <div class="form-group col-md-6 mb-4">
                                        <input type="text" name="lname" class="form-control" id="lname" placeholder="Last Name" required>
                                        <div class="help-block with-errors"></div>
                                    </div>

                                    <div class="form-group col-md-6 mb-4">
                                        <input type="email" name ="email" class="form-control" id="email" placeholder="Email" required>
                                        <div class="help-block with-errors"></div>
                                    </div>

                                    <div class="form-group col-md-6 mb-4">
                                        <input type="text" name="phone" class="form-control" id="phone" placeholder="Phone" required>
                                        <div class="help-block with-errors"></div>
                                    </div>

                                    <div class="form-group col-md-12 mb-4">
                                        <select name="services" class="form-control form-select" id="services" required>
                                            <option value="" disabled selected>Subject Regarding</option>
                                            <option value="option1">Option 1</option>
                                            <option value="option2">Option 2</option>
                                            <option value="option3">Option 3</option>
                                            <option value="option4">Option 4</option>
                                            <option value="option5">Option 5</option>
                                        </select>
                                        <div class="help-block with-errors"></div>
                                    </div> 

                                    <div class="form-group col-md-12 mb-5">
                                        <textarea name="message" class="form-control" id="message" rows="4" placeholder="Message"></textarea>
                                        <div class="help-block with-errors"></div>
                                    </div>

                                    <div class="col-md-12">
                                        <button type="submit" class="btn-default">Submit Message</button>
                                        <div id="msgSubmit" class="h3 hidden"></div>
                                    </div>
                                </div>
                            </form>
                        </div>
                        <!-- Contact Form End -->
                    </div>
                    <!-- Contact Us Form End -->
                </div>

                <div class="col-lg-12">
                    <div class="contact_middle">
                        <div class="row">
                            <div class="col-lg-3 col-sm-6">
                                <div class="contact_department">
                                <h4>Department Name</h4>
                                <ul>
                                    <li>
                                        <div class="contact_dp_icon">
                                             <img src="images/icon-phone.svg">
                                        </div> 
                                        <span>+1 (246) 333-085</span>
                                    </li>
                                    <li>
                                        <div class="contact_dp_icon">
                                             <img src="images/icon-location.svg"> 
                                        </div>
                                        <span>location (Block)</span>
                                    </li>
                                </ul>
                               </div>
                            </div>
                            <div class="col-lg-3 col-sm-6">
                                <div class="contact_department">
                                <h4>Department Name</h4>
                                <ul>
                                    <li>
                                        <div class="contact_dp_icon">
                                             <img src="images/icon-phone.svg">
                                        </div> 
                                        <span>+1 (246) 333-085</span>
                                    </li>
                                    <li>
                                        <div class="contact_dp_icon">
                                             <img src="images/icon-location.svg"> 
                                        </div>
                                        <span>location (Block)</span>
                                    </li>
                                </ul>
                               </div>
                            </div>
                            <div class="col-lg-3 col-sm-6">
                                <div class="contact_department">
                                <h4>Department Name</h4>
                                <ul>
                                    <li>
                                        <div class="contact_dp_icon">
                                             <img src="images/icon-phone.svg">
                                        </div> 
                                        <span>+1 (246) 333-085</span>
                                    </li>
                                    <li>
                                        <div class="contact_dp_icon">
                                             <img src="images/icon-location.svg"> 
                                        </div>
                                        <span>location (Block)</span>
                                    </li>
                                </ul>
                               </div>
                            </div>
                            <div class="col-lg-3 col-sm-6">
                                <div class="contact_department">
                                <h4>Department Name</h4>
                                <ul>
                                    <li>
                                        <div class="contact_dp_icon">
                                             <img src="images/icon-phone.svg">
                                        </div> 
                                        <span>+1 (246) 333-085</span>
                                    </li>
                                    <li>
                                        <div class="contact_dp_icon">
                                             <img src="images/icon-location.svg"> 
                                        </div>
                                        <span>location (Block)</span>
                                    </li>
                                </ul>
                               </div>
                            </div>
                            <div class="col-lg-3 col-sm-6">
                                <div class="contact_department">
                                <h4>Department Name</h4>
                                <ul>
                                    <li>
                                        <div class="contact_dp_icon">
                                             <img src="images/icon-phone.svg">
                                        </div> 
                                        <span>+1 (246) 333-085</span>
                                    </li>
                                    <li>
                                        <div class="contact_dp_icon">
                                             <img src="images/icon-location.svg"> 
                                        </div>
                                        <span>location (Block)</span>
                                    </li>
                                </ul>
                               </div>
                            </div>
                            <div class="col-lg-3 col-sm-6">
                                <div class="contact_department">
                                <h4>Department Name</h4>
                                <ul>
                                    <li>
                                        <div class="contact_dp_icon">
                                             <img src="images/icon-phone.svg">
                                        </div> 
                                        <span>+1 (246) 333-085</span>
                                    </li>
                                    <li>
                                        <div class="contact_dp_icon">
                                             <img src="images/icon-location.svg"> 
                                        </div>
                                        <span>location (Block)</span>
                                    </li>
                                </ul>
                               </div>
                            </div>
                            <div class="col-lg-3 col-sm-6">
                                <div class="contact_department">
                                <h4>Department Name</h4>
                                <ul>
                                    <li>
                                        <div class="contact_dp_icon">
                                             <img src="images/icon-phone.svg">
                                        </div> 
                                        <span>+1 (246) 333-085</span>
                                    </li>
                                    <li>
                                        <div class="contact_dp_icon">
                                             <img src="images/icon-location.svg"> 
                                        </div>
                                        <span>location (Block)</span>
                                    </li>
                                </ul>
                               </div>
                            </div>
                            <div class="col-lg-3 col-sm-6">
                                <div class="contact_department">
                                <h4>Department Name</h4>
                                <ul>
                                    <li>
                                        <div class="contact_dp_icon">
                                             <img src="images/icon-phone.svg">
                                        </div> 
                                        <span>+1 (246) 333-085</span>
                                    </li>
                                    <li>
                                        <div class="contact_dp_icon">
                                             <img src="images/icon-location.svg"> 
                                        </div>
                                        <span>location (Block)</span>
                                    </li>
                                </ul>
                               </div>
                            </div>
                        </div>
                    </div>
                </div>

                <div class="col-lg-12">
                    <!-- Google Map IFrame Start -->
                    <div class="google-map">
                        <iframe src="https://www.google.com/maps/embed?pb=!1m18!1m12!1m3!1d3928.8977222419267!2d76.33642327587103!3d10.02529837259723!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x3b080c927e4c2dad%3A0x680045c873b70587!2sSunrise%20Hospital%20Kochi!5e0!3m2!1sen!2sin!4v1769014210425!5m2!1sen!2sin" allowfullscreen="" loading="lazy" referrerpolicy="no-referrer-when-downgrade"></iframe>
                    </div>
                    <!-- Google Map IFrame End -->
                </div>
            </div>
        </div>
    </div>
    <!-- Page Contact Us End -->
@endsection