{% extends '@root/layouts/twig/ajax/review.twig' %}
{% block form %}
	<form id="review_form" action="#" method="post">
		<label>{{ text.review.fields.first_name }} *</label>
		<input type="text" id="review_first_name" name="review[first_name]" class="form-control validate[required,custom[name]]" placeholder="">
		<label>{{ text.review.fields.last_name }} *</label>
		<input type="text" id="review_last_name" name="review[last_name]" class="form-control validate[required,custom[name]]" placeholder="">
		<label>{{ text.contact.phone }} *</label>
		<input type="text" id="review_phone" name="review[phone]" class="form-control validate[required,custom[phone_world]]" placeholder="">
		<label>{{ text.misc.email }} *</label>
		<input type="text" id="review_email" name="review[email]" class="form-control validate[required,custom[email]]" placeholder="">
		<label>{{ text.review.fields.country.desc }} *</label>
		<select id="review_id_countries" name="review[id_countries]" class="form-control validate[required]">
			<option value="" disabled="disabled" selected="selected">{{ text.review.fields.country.placeholder }}</option>
			{% for country in data.countries %}
				<option value="{{ country.id }}">{{ country.desc }}</option>
			{% endfor %}
		</select>
		<label>{{ text.review.fields.classification }}</label>
		<div class="rating">
			<input type="radio" id="star_rating_5" name="review[classification]" value="5"/>
			<input type="radio" id="star_rating_4" name="review[classification]" value="4"/>
			<input type="radio" id="star_rating_3" name="review[classification]" value="3"/>
			<input type="radio" id="star_rating_2" name="review[classification]" value="2"/>
			<input type="radio" id="star_rating_1" name="review[classification]" value="1"/>
			<label class="star" for="star_rating_1"><i class="fa fa-2x fa-star"></i></label>&nbsp;
			<label class="star" for="star_rating_2"><i class="fa fa-2x fa-star"></i></label>&nbsp;
			<label class="star" for="star_rating_3"><i class="fa fa-2x fa-star"></i></label>&nbsp;
			<label class="star" for="star_rating_4"><i class="fa fa-2x fa-star"></i></label>&nbsp;
			<label class="star" for="star_rating_5"><i class="fa fa-2x fa-star"></i></label>
		</div>
		
		<label>{{ text.review.fields.obs }} *</label>
		<textarea id="review_html" name="review[html]" class="form-control validate[required,custom[text]]" placeholder=""></textarea>
		
		{% block _ext_data_form_content_consent %}{% endblock %}
		
		<input type="submit" id="review_send" name="review[send]" value="{{ text.contact.send }}" class="small-button">
		<span id="review_subscribe_ob_fields">* {{ text.subscribe.ob_fields }}</span>
	</form>
{% endblock form %}