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<?php include("./layout/header.php");
include ("./Utility/dataConnect.php");
include ("./Utility/profileData.php");
include ("./Calculator/initFactors.php");
include ("./Calculator/calculationFunctions.php");
session_start();
//setcookie('LivingHealthy', 'RajanM', time() + (86400 * 30), "/"); // 86400 = 1 day
//$AccountName = $_COOKIE['LivingHealthy'];
$AccountName = 'rajan';
$memberData = new userProfile($AccountName);
function debug_to_console( $data ) {
$output = $data;
if ( is_array( $output ) )
$output = implode( ',', $output);
echo "<script>console.log( 'Debug Objects: " . $output . "' );</script>";
}
if(isset($AccountName)) {
if (isset($_POST['submit'])) {
$SmokingLevel=-1;
$Smoker = "Non-Smoker";
if( isset($_POST['SmokingLevel']) )
{
if( is_numeric($_POST['SmokingLevel'])&& $_POST['SmokingLevel']>=0 && $_POST['SmokingLevel']<=3)
{
$SmokingLevel=$_POST['SmokingLevel'];
if($SmokingLevel == '0'){$Smoker = "Non-Smoker"; } else { $Smoker = "Smoker";}
}
else
{
$error[]="Smoking Level is not set.";
}
}
else
{
$error[]="Smoking Level is not set!";
}
$Gender=-1;
if( isset($_POST['GeneticGender']) )
{
if( isset($_POST['GeneticGender'])&& ($_POST['GeneticGender']=='0' || $_POST['GeneticGender']=='1'))
{
$Gender=$_POST['GeneticGender'];
}
else
{
$error[]="Gender is not set yet.". $_POST['gender'];
}
}
else
{
$error[]="Gender is not set!";
}
$Age= -1;
if( isset($_POST['DateOfBirth']) )
{
$Age = floor((time() - strtotime($_POST['DateOfBirth'])) / 31556926);
}
else
{
$error[]="Age is not set!";
}
$ExerciseLevel=-1;
if( isset($_POST['ExerciseCondition']) )
{
if( is_numeric($_POST['ExerciseCondition'])&& $_POST['ExerciseCondition']>=0 && $_POST['ExerciseCondition']<=4)
{
$ExerciseLevel=$_POST['ExerciseCondition'];
}
else
{
$error[]="Exercise Level is not set.";
}
}
else
{
$error[]="Exercise Level is not set!";
}
$DiabetesLevel=-1;
if( isset($_POST['Diabetes']) )
{
if( isset($_POST['Diabetes'])&& ($_POST['Diabetes']=='0' || $_POST['Diabetes']=='1'))
{
$DiabetesLevel=$_POST['Diabetes'];
}
else
{
$error[]="Diabetes Level is not set.";
}
}
else
{
$error[]="Diabetes Level is not set!";
}
$IncomeLevel=-1;
if( isset($_POST['IncomeRange']) )
{
if( is_numeric($_POST['IncomeRange']) && $_POST['IncomeRange']>=0 && $_POST['IncomeRange']<=4)
{
$IncomeLevel=$_POST['IncomeRange'];
}
else
{
$error[]="Income Level is not set.";
}
}
else
{
$error[]="Income Level is not set!";
}
$EducationLevel=-1;
if( isset($_POST['LevelOfEducation']) )
{
if( is_numeric($_POST['LevelOfEducation']) && $_POST['LevelOfEducation']>=0 && $_POST['LevelOfEducation']<=3)
{
$EducationLevel=$_POST['LevelOfEducation'];
}
else
{
$error[]="Education Level is not set.";
}
}
else
{
$error[]="Education Level is not set!";
}
$DrivingLevel=-1;
if( isset($_POST['DrivingHistory']) )
{
if( is_numeric($_POST['DrivingHistory']) && $_POST['DrivingHistory']>=0 && $_POST['DrivingHistory']<=2)
{
$DrivingLevel=$_POST['DrivingHistory'];
}
else
{
$error[]="Driving Level is not set.";
}
}
else
{
$error[]="Driving Level is not set!";
}
$SleepLevel=-1;
if( isset($_POST['SleepCondition']) )
{
if( is_numeric($_POST['SleepCondition']) && $_POST['SleepCondition']>=0 && $_POST['SleepCondition']<=2)
{
$SleepLevel=$_POST['SleepCondition'];
}
else
{
$error[]="Sleep Level is not set.";
}
}
else
{
$error[]="Sleep Level is not set!";
}
$AlcoholLevel=-1;
if( isset($_POST['AlcoholCondition']) )
{
if( is_numeric($_POST['AlcoholCondition']) && $_POST['AlcoholCondition']>=0 && $_POST['AlcoholCondition']<=4)
{
$AlcoholLevel=$_POST['AlcoholCondition'];
}
else
{
$error[]="Alcohol Level is not set.";
}
}
else
{
$error[]="Alcohol Level is not set!";
}
$Weight=-1;
if( isset($_POST['Weight']) && is_numeric($_POST['Weight']) && $_POST['Weight'] >= 1 && $_POST['Weight']<=500)
{
$Weight=$_POST['Weight'];
}
else
{
$error[]="Weight is not set.";
}
$HeightInches=-1;
if( isset($_POST['HeightInches']) && is_numeric($_POST['HeightInches']) && $_POST['HeightInches'] >= 0 && $_POST['HeightInches']<=11)
{
$HeightInches=$_POST['HeightInches'];
}
else
{
$error[]="Height in inches is not set.";
}
$HeightFeet=-1;
if( isset($_POST['HeightFeet']) && is_numeric($_POST['HeightFeet']) && $_POST['HeightFeet'] >= 1 && $_POST['HeightFeet']<=7)
{
$HeightFeet=$_POST['HeightFeet'];
}
else
{
$error[]="Height in feet is not set.";
}
$BMILevel=-1;
$BMI=-1;
if( $Weight>=0 && $HeightInches >=0 && $HeightFeet>=0) // Domain of the state variable $HeightFeet= -1,1..7; a value of 0 is not possible.
{
$HeightTotalInches=$HeightInches + $HeightFeet*12; // $HeightTotalInches is guaranteed to be >= 12. (division by 0 is not possible).
$BMI = $Weight/pow($HeightTotalInches, 2) * 703;
// Convert the floating point $BMI into the integer state variable $BMILevel=0..4.
$BMILevel="0";
if($BMI >= 18.5 and $BMI < 25) $BMILevel="1";
if($BMI >= 25 and $BMI < 30) $BMILevel="2";
if($BMI >= 30 and $BMI < 40) $BMILevel="3";
if($BMI>=40) $BMILevel="4";
}
else
{
$error[]="Cannot compute BMI.";
}
$DietLevel=-1;
if( isset($_POST['DietCondition']) )
{
if( is_numeric($_POST['DietCondition']) && $_POST['DietCondition']>=0 && $_POST['DietCondition']<=4)
{
$DietLevel=$_POST['DietCondition'];
}
else
{
$error[]="Diet Level is not set.";
}
}
else
{
$error[]="Diet Level is not set!";
}
$HealthLevel=-1;
if( isset($_POST['HealthCondition']) )
{
if( is_numeric($_POST['HealthCondition']) && $_POST['HealthCondition']>=0 && $_POST['HealthCondition']<=4)
{
$HealthLevel=$_POST['HealthCondition'];
}
else
{
$error[]="Health Level is not set.";
}
}
else
{
$error[]="Health Level is not set!";
}
/* $DiseasesLevel=-1;
if( isset($_POST['DiseaseCondition']) )
{
if( is_numeric($_POST['DiseaseCondition']) && $_POST['DiseaseCondition']>=0 && $_POST['DiseaseCondition']<=count($Diseases))
{
$DiseasesLevel=$_POST['DiseaseCondition'];
}
else
{
$error[]="Diseases Level is not set.";
}
}
else
{
$error[]="Diseases Level is not set!";
} */
$DiseasesLow=-1;
if( isset($_POST['DiseasesLow']) )
{
if( is_numeric($_POST['DiseasesLow']) && $_POST['DiseasesLow']>=0 )
{
$DiseasesLow=$_POST['DiseasesLow'];
}
else
{
$error[]="Diseases Level is not set.";
}
}
else
{
$error[]="Diseases Level is not set!";
}
$DiseasesMedium = -1;
if( isset($_POST['DiseasesMedium']) )
{
if( is_numeric($_POST['DiseasesMedium']) && $_POST['DiseasesMedium']>=0 )
{
$DiseasesMedium=$_POST['DiseasesMedium'];
}
else
{
$error[]="Diseases Level is not set.";
}
}
else
{
$error[]="Diseases Level is not set!";
}
$DiseasesSevere = -1;
if( isset($_POST['DiseasesSevere']) )
{
if( is_numeric($_POST['DiseasesSevere']) && $_POST['DiseasesSevere']>=0 )
{
$DiseasesSevere=$_POST['DiseasesSevere'];
}
else
{
$error[]="Diseases Level is not set.";
}
}
else
{
$error[]="Diseases Level is not set!";
}
$MaritalStatusLevel=-1;
if( isset($_POST['MaritalStatus']) )
{
if( is_numeric($_POST['MaritalStatus']) && $_POST['MaritalStatus']>=0 && $_POST['MaritalStatus']<=5)
{
$MaritalStatusLevel=$_POST['MaritalStatus'];
}
else
{
$error[]="MaritalStatus Level is not set.";
}
}
else
{
$error[]="MaritalStatus Level is not set!";
}
$CreditScoreLevel=-1;
if( isset($_POST['CreditScore']) )
{
if( is_numeric($_POST['CreditScore']) && $_POST['CreditScore']>=0 && $_POST['CreditScore']<=2)
{
$CreditScoreLevel=$_POST['CreditScore'];
}
else
{
$error[]="CreditScore Level is not set.";
}
}
else
{
$error[]="CreditScore Level is not set!";
}
$StressLevel=-1;
if( isset($_POST['StressFrequency']) )
{
if( is_numeric($_POST['StressFrequency']) && $_POST['StressFrequency']>=0 && $_POST['StressFrequency']<=4)
{
$StressLevel=$_POST['StressFrequency'];
}
else
{
$error[]="StressFrequency Level is not set.";
}
}
else
{
$error[]="StressFrequency Level is not set!";
}
$CaloriesLevel=-1;
if( isset($_POST['Calories']) )
{
if( is_numeric($_POST['Calories']) && $_POST['Calories']>=0 && $_POST['Calories']<=2)
{
$CaloriesLevel=$_POST['Calories'];
}
else
{
$error[]="Calories Level is not set.";
}
}
else
{
$error[]="Calories Level is not set!";
}
$GrainsLevel=-1;
if( isset($_POST['Grains']) )
{
if( is_numeric($_POST['Grains']) && $_POST['Grains']>=0 && $_POST['Grains']<=2)
{
$GrainsLevel=$_POST['Grains'];
}
else
{
$error[]="Grains Level is not set.";
}
}
else
{
$error[]="Grains Level is not set!";
}
$FruitsLevel=-1;
if( isset($_POST['Fruits']) )
{
if( is_numeric($_POST['Fruits']) && $_POST['Fruits']>=0 && $_POST['Fruits']<=2)
{
$FruitsLevel=$_POST['Fruits'];
}
else
{
$error[]="Fruits Level is not set.";
}
}
else
{
$error[]="Fruits Level is not set!";
}
$VegetablesLevel=-1;
if( isset($_POST['Vegetables']) )
{
if( is_numeric($_POST['Vegetables']) && $_POST['Vegetables']>=0 && $_POST['Vegetables']<=2)
{
$VegetablesLevel=$_POST['Vegetables'];
}
else
{
$error[]="Vegetables Level is not set.";
}
}
else
{
$error[]="Vegetables Level is not set!";
}
$DairyLevel=-1;
if( isset($_POST['Dairy']) )
{
if( is_numeric($_POST['Dairy']) && $_POST['Dairy']>=0 && $_POST['Dairy']<=2)
{
$DairyLevel=$_POST['Dairy'];
}
else
{
$error[]="Dairy Level is not set.";
}
}
else
{
$error[]="Dairy Level is not set!";
}
$ProteinLevel=-1;
if( isset($_POST['Protein']) )
{
if( is_numeric($_POST['Protein']) && $_POST['Protein']>=0 && $_POST['Protein']<=2)
{
$ProteinLevel=$_POST['Protein'];
}
else
{
$error[]="Protein Level is not set.";
}
}
else
{
$error[]="Protein Level is not set!";
}
$SweetsLevel=-1;
if( isset($_POST['Sugar']) )
{
if( is_numeric($_POST['Sugar']) && $_POST['Sugar']>=0 && $_POST['Sugar']<=2)
{
$SweetsLevel=$_POST['Sugar'];
}
else
{
$error[]="Sugar Level is not set.";
}
}
else
{
$error[]="Sugar Level is not set!";
}
$levels = array(
"ExerciseLevel" => $ExerciseLevel,
"DiabetesLevel" => $DiabetesLevel,
"IncomeLevel" => $IncomeLevel,
"EducationLevel" => $EducationLevel,
"DrivingLevel" => $DrivingLevel,
"BMILevel" => $BMILevel,
"DietLevel" => $DietLevel,
"HealthLevel" => $HealthLevel,
"AlcoholLevel" => $AlcoholLevel,
"SleepLevel" => $SleepLevel,
// "DiseasesLevel" => $DiseasesLevel,
"DiseasesLow" => $DiseasesLow,
"DiseasesMedium" => $DiseasesMedium,
"DiseasesSevere" => $DiseasesSevere,
"MaritalStatusLevel" => $MaritalStatusLevel,
"CreditScoreLevel" => $CreditScoreLevel,
"StressLevel" => $StressLevel,
"CaloriesLevel" => $CaloriesLevel,
"GrainsLevel" => $GrainsLevel,
"FruitsLevel" => $FruitsLevel,
"VegetablesLevel" => $VegetablesLevel,
"DairyLevel" => $DairyLevel,
"ProteinLevel" => $ProteinLevel,
"SweetsLevel" => $SweetsLevel,
"SmokesLevel" => $SmokingLevel
);
$factors = new factors($levels);
$stats = calculate_statistics($Age, $Gender, $Smoker, $factors->qxhfactor, $factors->qxdfactor, $factors->ixfactor, FALSE);
$statsAverage = calculate_statistics($Age, $Gender, "Non-Smoker", 1, 1, 1, FALSE);
$hle = $stats[1];
}
}
?>
<!-- ################### UI ##################### -->
<?php if (isset($stats) && isset($statsAverage)){ ?>
<div class="rTable" style="margin: 0 auto;;">
<div class="rTableRow">
<div class="rTableCellBorder">HLE Baseline</div>
<div class="rTableCell"> <?php echo $statsAverage[1]; ?> </div>
</div>
<div class="rTableRow">
<div class="rTableCellBorder">Your HLE</div>
<div class="rTableCell"> <?php echo $stats[1]; ?> </div>
</div>
<div class="rTableRow">
<div class="rTableCellBorder">Your Total Healthy Life</div>
<div class="rTableCell"> <?php echo $stats[1]+$Age; ?> </div>
</div>
</div>
<?php } ?>
<div class="dropdown" style="float: right; margin-right: 5em;margin-top:3px;">
<button class="btn btn-default dropdown-toggle" type="button" id="dropdownMenu1" data-toggle="dropdown" aria-haspopup="true" aria-expanded="true">
Dropdown
<span class="caret"></span>
</button>
<ul class="dropdown-menu" aria-labelledby="dropdownMenu1">
<li><a href="summary.php">Summary</a></li>
<li><a href="profile.php">Profile</a></li>
<li><a href="demo.php">Demo</a></li>
<li><a href="#">Leaderboard</a></li>
<li><a href="#" onclick="location.href = `logout.php`;">Logout</a></li>
</ul>
</div>
<div class="main-content" style="background-color:#f2f2f2;">
<form id="profile" class="form-labels-on-top" method="post" action="">
<!-- <div class="progress">
<div class="progress-bar progress-bar-striped active" role="progressbar" aria-valuemin="0" aria-valuemax="100">
</div>
</div> -->
<?php if (isset($error) > 0): ?>
<div class="error">
<?php foreach ($error as $error): ?>
<p>
<?php echo $error ?>
</p>
<?php endforeach?>
</div>
<?php endif?>
<?php if (isset($_GET['action']) && $_GET['action'] == 'joined'): ?>
<div class="success">
<p>
<?php echo "Registration successful, please check your email to activate your account." ?>
</p>
</div>
<?php endif?>
<!-- <fieldset style="margin-bottom: 2em;">
<div class="form-title-row">
<h1>User Registration
</h1>
</div>
<div class="form-row">
<label>
<span>Email*
</span>
<input id="email" name="email" placeholder="Email Address" tabindex="2" type="email" value=" <?php if (isset($error)) {
echo htmlspecialchars($_POST['email'], ENT_QUOTES);
}?>">
</label>
</div>
<input type="button" name="next" class="next" onclick="scrollToTop()" value="Next" />
</fieldset> -->
<!-- <fieldset style="margin-bottom: 2em;"> -->
<div class="form-title-row">
<h1>Demo
</h1>
</div>
<div class="form-row">
<label>
<span>Birth date*
</span>
<input type="date" name="DateOfBirth" style="width: 300px;" value="<?php echo ($memberData->getIsProfilePresent()=='true')? (htmlspecialchars($memberData->getDOB())): ""; ?>">
</label>
</div>
<div class="form-row">
<label>
<span>What is your biological gender?*
</span>
</label>
<div class="form-radio-buttons">
<div>
<label>
<input type="radio" name="GeneticGender" value="0" <?php echo ($memberData->getIsProfilePresent()=='true' && $memberData->getGeneticGender()=='0')? 'checked': ''; ?> >
<span>Male
</span>
</label>
<label>
<input type="radio" name="GeneticGender" value="1" <?php echo ($memberData->getIsProfilePresent()=='true' && $memberData->getGeneticGender()=='1')? 'checked': ''; ?>>
<span>Female
</span>
</label>
</div>
</div>
</div>
<div class="form-row">
<label>
<span>What is your height?*
</span>
<input type="number" name="HeightFeet" style="width: 100px;" value="<?php echo ($memberData->getIsProfilePresent()=='true')? (htmlspecialchars($memberData->getHeightFeet())): ""; ?>">
<p id="unit"> feet
</p> &ensp;
<input type="number" name="HeightInches" style="width: 100px;" value="<?php echo ($memberData->getIsProfilePresent()=='true')? (htmlspecialchars($memberData->getHeightInches())): ""; ?>">
<p id="unit"> inches
</p>
</label>
</div>
<div class="form-row">
<label>
<span>What is your weight?*
</span>
<input type="number" name="Weight" style="width: 100px;" value="<?php echo ($memberData->getIsProfilePresent()=='true')? (htmlspecialchars($memberData->getWeight())): ""; ?>">
<p id="unit"> pounds
</p>
</label>
</div>
<!-- <input type="button" name="previous" class="previous" onclick="scrollToTop()" value="Previous" />
<input type="button" name="next" class="next" onclick="scrollToTop()" value="Next" />
</fieldset>
<fieldset style="margin-bottom: 2em;"> -->
<!-- <div class="form-title-row">
<h1>User Registration
</h1>
</div> -->
<div class="form-row">
<label>
<span>What is your Marital Status?*
</span>
</label>
<div class="form-radio-buttons">
<div>
<label>
<input type="radio" name="MaritalStatus" value="0" <?php echo ($memberData->getIsProfilePresent()=='true' && $memberData->getMaritalStatus()=='Single')? 'checked': ''; ?>>
<span>Never Married
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="MaritalStatus" value="1" <?php echo ($memberData->getIsProfilePresent()=='true' && $memberData->getMaritalStatus()=='Married')? 'checked': ''; ?>>
<span>Widowed Young <40
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="MaritalStatus" value="2" <?php echo ($memberData->getIsProfilePresent()=='true' && $memberData->getMaritalStatus()=='Separated')? 'checked': ''; ?>>
<span>Widowed Old >40
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="MaritalStatus" value="3" <?php echo ($memberData->getIsProfilePresent()=='true' && $memberData->getMaritalStatus()=='Divorced')? 'checked': ''; ?>>
<span>Divorced Male
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="MaritalStatus" value="4" <?php echo ($memberData->getIsProfilePresent()=='true' && $memberData->getMaritalStatus()=='Divorced')? 'checked': ''; ?>>
<span>Divorced Female
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="MaritalStatus" value="5" <?php echo ($memberData->getIsProfilePresent()=='true' && $memberData->getMaritalStatus()=='Widowed')? 'checked': ''; ?>>
<span>Married
</span>
</label>
</div>
</div>
</div>
<div class="form-row">
<label>
<span>What level of education have you completed?*
</span>
</label>
<div class="form-radio-buttons">
<div>
<label>
<input type="radio" name="LevelOfEducation" value="0" <?php echo ($memberData->getIsProfilePresent()=='true' && $memberData->getLevelOfEducation()=='Below High School')? 'checked': ''; ?>>
<span>
< High School
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="LevelOfEducation" value="1" <?php echo ($memberData->getIsProfilePresent()=='true' && $memberData->getLevelOfEducation()=='High School')? 'checked': ''; ?>>
<span>High School
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="LevelOfEducation" value="2" <?php echo ($memberData->getIsProfilePresent()=='true' && $memberData->getLevelOfEducation()=='College')? 'checked': ''; ?>>
<span>College
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="LevelOfEducation" value="3" <?php echo ($memberData->getIsProfilePresent()=='true' && $memberData->getLevelOfEducation()=='Graduate Degree')? 'checked': ''; ?>>
<span>Graduate
</span>
</label>
</div>
</div>
</div>
<div class="form-row">
<label>
<span>What is your annual income?*
</span>
<select name="IncomeRange">
<option value = "0" selected="selected">
< 25,000
</option>
<option value = "1">25,000 - 50,000
</option>
<option value = "2" <?php echo ($memberData->getIsProfilePresent()=='true' && $memberData->getIncomeRange()=='50000-75000')? 'selected': 'false'; ?>>50,000 - 75,000
</option>
<option value = "3">75,000 - 100,000
</option>
<option value = "4">> 100,000
</option>
</select>
</label>
</div>
<!-- <input type="button" name="previous" class="previous" onclick="scrollToTop()" value="Previous" />
<input type="button" name="next" class="next" onclick="scrollToTop()" value="Next" />
</fieldset>
<fieldset style="margin-bottom: 2em;"> -->
<div class="form-row">
<label>
<span>How is your driving history?*
</span>
</label>
<div class="form-radio-buttons">
<div>
<label>
<input type="radio" name="DrivingHistory" value="0">
<span>0 accident per year
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="DrivingHistory" value="1">
<span>1 accident per year
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="DrivingHistory" value="2">
<span>2+ accident per year
</span>
</label>
</div>
</div>
</div>
<div class="form-row">
<label>
<span>What is your credit score?
</span>
</label>
<div class="form-radio-buttons">
<div>
<label>
<input type="radio" name="CreditScore" value="0">
<span>
< 500
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="CreditScore" value="1">
<span>500 - 750
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="CreditScore" value="2">
<span>750+
</span>
</label>
</div>
</div>
</div>
<div class="form-row">
<label>
<span>How much to do you smoke
</span>
<select name="SmokingLevel">
<option value="0" selected="selected">Non Smoker
</option>
<option value="1">1-5 a day
</option>
<option value="2">6-10 a day
</option>
<option value="3">11 or more a day
</option>
</select>
</label>
</div>
<div class="form-row">
<label>
<span>Number of less severe diseases
</span>
<input type="number" name="DiseasesLow" style="width: 100px;">
</p>
</label>
</div>
<div class="form-row">
<label>
<span>Number of moderately severe diseases
</span>
<input type="number" name="DiseasesMedium" style="width: 100px;">
</p>
</label>
</div>
<div class="form-row">
<label>
<span>Number of highly severe diseases
</span>
<input type="number" name="DiseasesSevere" style="width: 100px;">
</p>
</label>
</div>
<div class="form-row">
<label>
<span>Do you have Diabetes?
</span>
</label>
<div class="form-radio-buttons">
<div>
<label>
<input type="radio" name="Diabetes" value="0">
<span>Yes
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="Diabetes" value="1">
<span>No
</span>
</label>
</div>
</div>
</div>
<div class="form-row">
<label>
<span>Rate your diet consumption
</span>
<select name="DietCondition">
<option value="0" selected="selected">Poor
</option>
<option value="1">Fair
</option>
<option value="2">Good
</option>
<option value="3">Very Good
</option>
<option value="4">Excellent
</option>
</select>
</label>
</div>
<div class="form-row">
<label>
<span>How many hours do you sleep a night?*
</span>
<select name="SleepCondition">
<option value="1" selected="selected">5-8 Hours a Night
</option>
<option value="0">
< 5 Hours a Night
</option>
<option value="2">>8 Hours a Night
</option>
</select>
</label>
</div>
<div class="form-row">
<label>
<span>How often do you exercise?*
</span>
<select name="ExerciseCondition">
<option value="1" selected="selected">Rarely
</option>
<option value="0">Never
</option>
<option value="2">1-2 days a week
</option>
<option value="3">3-4 days a week
</option>
<option value="4">5+ days a week
</option>
</select>
</label>
</div>
<div class="form-row">
<label>
<span>How often do you drink alcohol?*
</span>
<select name="AlcoholCondition">
<option value="1" selected="selected">Rarely
</option>
<option value="0">Never
</option>
<option value="2">1-2 days a week
</option>
<option value="3">3-4 days a week
</option>
<option value="4" >5+ days a week
</option>
</select>
</label>
</div>
<div class="form-row">
<label>
<span>How often do you feel stressed during the week?*
</span>
<select name="StressFrequency">
<option value="1" selected="selected">Rarely
</option>
<option value="0">Never
</option>
<option value="2">Few times a week
</option>
<option value="3">Often
</option>
<option value="4">All the time
</option>
</select>
</label>
</div>
<div class="form-row">
<label>
<span>How would you rate your current health level?
</span>
<select name="HealthCondition">
<option value="1" selected="selected">Fair
</option>
<option value="0">Poor
</option>
<option value="2">Good
</option>
<option value="3">Very Good
</option>
<option value="4">Excellent
</option>
</select>
</label>
</div>
<div class="form-row">
<label>
<span>On average, how many calories do you eat per day?*
<a href="http://www.calculator.net/calorie-calculator.html?ctype=standard&cage=25&csex=m&cheightfeet=5&cheightinch=10&cpound=160&cheightmeter=180&ckg=60&cactivity=1.375&printit=0&x=84&y=19"> Recommended Calorie Calculator
</a>
</span>
</label>
<div class="form-radio-buttons">
<div>
<label>
<input type="radio" name="Calories" value="0">
<span>Less than average
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="Calories" value="1">
<span>About average
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="Calories" value="2">
<span>Above average
</span>
</label>
</div>
</div>
</div>
<div class="form-row">
<label>
<span>How many servings of grains do you eat per day?* (Recommended Average: 4-5 servings)
</span>
</label>
<div class="form-radio-buttons">
<div>
<label>
<input type="radio" name="Grains" value="0">
<span>Less than average
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="Grains" value="1">
<span>About average
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="Grains" value="2">
<span>Above average
</span>
</label>
</div>
</div>
</div>
<div class="form-row">
<label>
<span>How many servings of fruits do you eat per day?* (Recommended Average: 4-5 servings)
</span>
</label>
<div class="form-radio-buttons">
<div>
<label>
<input type="radio" name="Fruits" value="0">
<span>Less than average
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="Fruits" value="1">
<span>About average
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="Fruits" value="2">
<span>Above average
</span>
</label>
</div>
</div>
</div>
<div class="form-row">
<label>
<span>How many servings of vegetables do you eat per day?* (Recommended Average: 4-5 servings)
</span>
</label>
<div class="form-radio-buttons">
<div>
<label>
<input type="radio" name="Vegetables" value="0">
<span>Less than average
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="Vegetables" value="1">
<span>About average
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="Vegetables" value="2">
<span>Above average
</span>
</label>
</div>
</div>
</div>
<div class="form-row">
<label>
<span>How many servings of dairy do you eat per day (including Soy Milk)? (Recommended Average: 2-3 servings)
</span>
</label>
<div class="form-radio-buttons">
<div>
<label>
<input type="radio" name="Dairy" value="0">
<span>Less than average
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="Dairy" value="1">
<span>About average
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="Dairy" value="2">
<span>Above average
</span>
</label>
</div>
</div>
</div>
<div class="form-row">
<label>
<span>How many ounces of protein (meats, seafood, soy products, nuts, and legumes) do you eat per day? (Recommended Average: 5-6 servings)
</span>
</label>
<div class="form-radio-buttons">
<div>
<label>
<input type="radio" name="Protein" value="0">
<span>Less than average
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="Protein" value="1">
<span>About average
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="Protein" value="2">
<span>Above average
</span>
</label>
</div>
</div>
</div>
<div class="form-row">
<label>
<span>How many servings of sweets and added sugar do you eat per day? (Recommended Average: less than 1)
</span>
</label>
<div class="form-radio-buttons">
<div>
<label>
<input type="radio" name="Sugar" value="0">
<span>Less than average
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="Sugar" value="1">
<span>About average
</span>
</label>
</div>
<div>
<label>
<input type="radio" name="Sugar" value="2">
<span>Above average
</span>
</label>
</div>
</div>
</div>
<!-- <input type="button" name="previous" class="previous" onclick="scrollToTop()" value="Previous" /> -->
<input type="submit" name="submit" class="next btn btn-success" value="Save" />
</form>
</div>
<?php
require 'layout/footer.php';
?>
</body>
<script type="text/javascript">
function scrollToTop() {
document.body.scrollTop = 0;
document.documentElement.scrollTop = 0;
}
// $(document).ready(function(){
// var form = $("#profile");
// form.validate({
// errorPlacement: function(error, element) {
// error.insertBefore(element);
// },
// rules: {
// DateOfBirth: {
// required: true
// },
// GeneticGender: {
// required: true
// },
// HeightFeet: {
// required: true,
// number: true,
// min: 1
// },
// HeightInches: {
// required: true,
// number: true,
// min: 0
// },
// Weight: {
// required: true,
// min: 10
// },
// MaritalStatus: {
// required: true
// },
// LevelOfEducation: {
// required: true
// },
// IncomeRange: {
// required: true
// }
// },
// messages: {
// }
// });
// });
</script>
</html>