templates/default/int_update.tpl

   1 {app_header}
   2
   3 <center>
   4         <form action="{actionurl}" method="POST">
   5         <input type=hidden name=interviewer value={interviewer}>
   6         <input type=hidden name=indiv value={indiv}>
   7         <input type=hidden name=companionship value={companionship}>
   8         <table border="0" width="60%" cellspacing="2" cellpadding="2">
   9                 <tr>
  10                         <td align="center" bgcolor="#c9c9c9"><font face="{font}"><b>{lang_action}:&nbsp;{name}</b></font></td>
  11                 </tr>
  12                 <tr>
  13                         <td align="left"><font face="{font}"><b>Name:</b>&nbsp;
  14                         <input type=text size="30" name="name" value="{name}" READONLY></td>
  15                 </tr>
  16                 <tr>
  17                         <td align="left"><font face="{font}"><b>Interviewer:</b>&nbsp;
  18                         <select name="interviewer" {disabled}>
  19 <!-- BEGIN interviewer_list -->
  20                         <option value={interviewer}>{interviewer_name}</option>
  21 <!-- END interviewer_list -->
  22                         </select>
  23                         &nbsp; <input type="checkbox" name="eqpresppi" value="1" {eqpresppi_checked} {disabled}>
  24                         Yearly PPI
  25                 </tr>
  26                 <tr>
  27                         <td align="left"><font face="{font}"><b>Date:</b>&nbsp;
  28                         {cal_date}
  29                         </td>
  30                 </tr>
  31                 <tr>
  32                         <td align="left"><font face="{font}"><b>Notes:</b></font></td>
  33                 </tr>
  34                 <tr>
  35                         <td align="left"><font face="{font}" size="{font_size}">
  36                         <textarea cols="100" rows="10" name="notes" wrap="virtual" {readonly}>{notes}</textarea></font></td>
  37                 </tr>
  38         </table>
  39
  40 <!-- BEGIN add -->
  41         <table width="70%" border="0" cellspacing="2" cellpadding="2" align=left>
  42                 <tr valign="bottom">
  43                         <td height="50" align="right">
  44                                 <font face="{font}"><input type="submit" name="addnote" value="{lang_save}"></font></td>
  45                         <td height="50" align="center">
  46                                 <font face="{font}"><input type="reset" name="reset" value="{lang_reset}"></font></form></td>
  47                         <td height="50" align="center">
  48                                 <form action="{done_action}" method="POST">
  49                                 <font face="{font}"><input type="submit" name="done" value="{lang_done}"></font></form></td>
  50                 </tr>
  51         </table>
  52 </center>
  53 <!-- END add -->
  54
  55 <!-- BEGIN edit -->
  56         <table width="50%" border="0" cellspacing="2" cellpadding="2" align=left>
  57                 <tr valign="bottom" align="left">
  58                         <td height="50" align="right" valign="middle">
  59                                 <font face="{font}"><input type="submit" name="editnote" value="{lang_save}"></font>
  60                                 </form></td>
  61                         <td height="50" align="center" valign="middle">
  62                                 <form action="{done_action}" method="POST">
  63                                 <font face="{font}"><input type="submit" name="done" value="{lang_done}"></font></form></td>
  64                 </tr>
  65         </table>
  66 </center>
  67
  68 <!-- END edit -->
  69
  70 <!-- END form -->
  71
  72