Spaces:
Running
Running
File size: 29,651 Bytes
220c099 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446 | <!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Request Help - RoadResQ</title>
<script src="https://cdn.tailwindcss.com"></script>
<link href="https://fonts.googleapis.com/css2?family=Inter:wght@300;400;500;600;700&display=swap" rel="stylesheet">
<script src="https://unpkg.com/feather-icons"></script>
<style>
body {
font-family: 'Inter', sans-serif;
}
.service-card {
transition: all 0.2s ease;
}
.service-card:hover {
transform: translateY(-3px);
box-shadow: 0 10px 25px -5px rgba(0, 0, 0, 0.1), 0 10px 10px -5px rgba(0, 0, 0, 0.04);
}
.service-card.selected {
border: 2px solid #2563eb;
background-color: #eff6ff;
}
.btn-primary {
background-color: #2563eb;
transition: all 0.3s ease;
}
.btn-primary:hover {
background-color: #1d4ed8;
transform: translateY(-1px);
}
.btn-emergency {
background-color: #dc2626;
transition: all 0.3s ease;
}
.btn-emergency:hover {
background-color: #b91c1c;
transform: translateY(-1px);
}
</style>
</head>
<body class="bg-gray-50">
<div class="min-h-screen">
<!-- Navigation -->
<nav class="bg-white shadow-sm">
<div class="max-w-7xl mx-auto px-4 sm:px-6 lg:px-8">
<div class="flex justify-between h-16">
<div class="flex items-center">
<div class="flex-shrink-0 flex items-center">
<i data-feather="tool" class="h-8 w-8 text-blue-600"></i>
<span class="ml-2 text-xl font-bold text-gray-900">RoadResQ</span>
</div>
</div>
<div class="hidden sm:ml-6 sm:flex sm:items-center">
<a href="index.html" class="px-3 py-2 rounded-md text-sm font-medium text-gray-500 hover:text-gray-900 hover:bg-gray-100">Home</a>
<a href="#" class="px-3 py-2 rounded-md text-sm font-medium text-gray-900 hover:bg-gray-100">Request Help</a>
<a href="customer-login.html" class="px-3 py-2 rounded-md text-sm font-medium text-gray-500 hover:text-gray-900 hover:bg-gray-100">Sign In</a>
</div>
<div class="-mr-2 flex items-center sm:hidden">
<button type="button" class="inline-flex items-center justify-center p-2 rounded-md text-gray-400 hover:text-gray-500 hover:bg-gray-100 focus:outline-none focus:ring-2 focus:ring-inset focus:ring-blue-500">
<i data-feather="menu" class="block h-6 w-6"></i>
</button>
</div>
</div>
</div>
</nav>
<!-- Main Content -->
<main>
<div class="max-w-7xl mx-auto py-6 sm:px-6 lg:px-8">
<div class="px-4 py-6 sm:px-0">
<div class="bg-white shadow overflow-hidden sm:rounded-lg">
<div class="px-4 py-5 sm:px-6 bg-blue-50 border-b border-blue-100">
<h3 class="text-lg leading-6 font-medium text-gray-900">
Request Roadside Assistance
</h3>
<p class="mt-1 max-w-2xl text-sm text-gray-500">
Select your issue type and location to get help quickly.
</p>
</div>
<div class="px-4 py-5 sm:p-6">
<div class="space-y-8 divide-y divide-gray-200">
<div>
<div>
<h3 class="text-lg font-medium leading-6 text-gray-900">1. Select Service Type</h3>
<p class="mt-1 text-sm text-gray-500">
What type of assistance do you need?
</p>
</div>
<div class="mt-6 grid grid-cols-1 gap-y-6 gap-x-4 sm:grid-cols-2 lg:grid-cols-4">
<!-- Flat Tire -->
<div class="service-card relative bg-white border border-gray-200 rounded-lg shadow-sm p-4 flex flex-col cursor-pointer">
<div class="flex-1">
<div class="flex items-center justify-center h-12 w-12 rounded-md bg-blue-100 text-blue-600 mx-auto">
<i data-feather="alert-circle" class="h-6 w-6"></i>
</div>
<h3 class="mt-4 text-sm font-medium text-gray-900 text-center">Flat Tire</h3>
<p class="mt-1 text-xs text-gray-500 text-center">
Tire change or temporary repair
</p>
</div>
<div class="mt-4">
<span class="text-xs font-semibold inline-block py-1 px-2 rounded-full text-blue-600 bg-blue-100">Starting at ₹499</span>
</div>
</div>
<!-- Battery Jumpstart -->
<div class="service-card relative bg-white border border-gray-200 rounded-lg shadow-sm p-4 flex flex-col cursor-pointer">
<div class="flex-1">
<div class="flex items-center justify-center h-12 w-12 rounded-md bg-blue-100 text-blue-600 mx-auto">
<i data-feather="battery" class="h-6 w-6"></i>
</div>
<h3 class="mt-4 text-sm font-medium text-gray-900 text-center">Battery Jumpstart</h3>
<p class="mt-1 text-xs text-gray-500 text-center">
Get your car started when battery dies
</p>
</div>
<div class="mt-4">
<span class="text-xs font-semibold inline-block py-1 px-2 rounded-full text-blue-600 bg-blue-100">Starting at ₹399</span>
</div>
</div>
<!-- Towing Service -->
<div class="service-card relative bg-white border border-gray-200 rounded-lg shadow-sm p-4 flex flex-col cursor-pointer">
<div class="flex-1">
<div class="flex items-center justify-center h-12 w-12 rounded-md bg-blue-100 text-blue-600 mx-auto">
<i data-feather="truck" class="h-6 w-6"></i>
</div>
<h3 class="mt-4 text-sm font-medium text-gray-900 text-center">Towing Service</h3>
<p class="mt-1 text-xs text-gray-500 text-center">
Transport your vehicle safely
</p>
</div>
<div class="mt-4">
<span class="text-xs font-semibold inline-block py-1 px-2 rounded-full text-blue-600 bg-blue-100">Starting at ₹999</span>
</div>
</div>
<!-- Engine Trouble -->
<div class="service-card relative bg-white border border-gray-200 rounded-lg shadow-sm p-4 flex flex-col cursor-pointer">
<div class="flex-1">
<div class="flex items-center justify-center h-12 w-12 rounded-md bg-blue-100 text-blue-600 mx-auto">
<i data-feather="settings" class="h-6 w-6"></i>
</div>
<h3 class="mt-4 text-sm font-medium text-gray-900 text-center">Engine Trouble</h3>
<p class="mt-1 text-xs text-gray-500 text-center">
Basic diagnostics and temporary fixes
</p>
</div>
<div class="mt-4">
<span class="text-xs font-semibold inline-block py-1 px-2 rounded-full text-blue-600 bg-blue-100">Starting at ₹799</span>
</div>
</div>
</div>
</div>
<div class="pt-8">
<div>
<h3 class="text-lg font-medium leading-6 text-gray-900">2. Your Location</h3>
<p class="mt-1 text-sm text-gray-500">
Where do you need assistance?
</p>
</div>
<div class="mt-6 grid grid-cols-1 gap-y-6 gap-x-4 sm:grid-cols-6">
<div class="sm:col-span-4">
<label for="address" class="block text-sm font-medium text-gray-700">
Address
</label>
<div class="mt-1">
<input type="text" name="address" id="address" autocomplete="address" class="shadow-sm focus:ring-blue-500 focus:border-blue-500 block w-full sm:text-sm border-gray-300 rounded-md">
</div>
</div>
<div class="sm:col-span-2">
<label for="landmark" class="block text-sm font-medium text-gray-700">
Landmark (Optional)
</label>
<div class="mt-1">
<input type="text" name="landmark" id="landmark" class="shadow-sm focus:ring-blue-500 focus:border-blue-500 block w-full sm:text-sm border-gray-300 rounded-md">
</div>
</div>
<div class="sm:col-span-3">
<label for="city" class="block text-sm font-medium text-gray-700">
City
</label>
<div class="mt-1">
<input type="text" name="city" id="city" autocomplete="address-level2" class="shadow-sm focus:ring-blue-500 focus:border-blue-500 block w-full sm:text-sm border-gray-300 rounded-md">
</div>
</div>
<div class="sm:col-span-3">
<label for="state" class="block text-sm font-medium text-gray-700">
State
</label>
<div class="mt-1">
<select id="state" name="state" autocomplete="state" class="shadow-sm focus:ring-blue-500 focus:border-blue-500 block w-full sm:text-sm border-gray-300 rounded-md">
<option>Select State</option>
<option>Delhi</option>
<option>Maharashtra</option>
<option>Karnataka</option>
<option>Tamil Nadu</option>
<option>Uttar Pradesh</option>
</select>
</div>
</div>
<div class="sm:col-span-3">
<label for="pincode" class="block text-sm font-medium text-gray-700">
ZIP / Postal code
</label>
<div class="mt-1">
<input type="text" name="pincode" id="pincode" autocomplete="postal-code" class="shadow-sm focus:ring-blue-500 focus:border-blue-500 block w-full sm:text-sm border-gray-300 rounded-md">
</div>
</div>
<div class="sm:col-span-3">
<label for="country" class="block text-sm font-medium text-gray-700">
Country
</label>
<div class="mt-1">
<select id="country" name="country" autocomplete="country" class="shadow-sm focus:ring-blue-500 focus:border-blue-500 block w-full sm:text-sm border-gray-300 rounded-md">
<option>India</option>
<option>United States</option>
<option>Canada</option>
<option>Mexico</option>
</select>
</div>
</div>
<div class="sm:col-span-6">
<div class="flex items-start">
<div class="flex-shrink-0">
<button type="button" class="relative inline-flex items-center px-3 py-2 border border-gray-300 shadow-sm text-sm leading-4 font-medium rounded-md text-gray-700 bg-white hover:bg-gray-50 focus:outline-none focus:ring-2 focus:ring-offset-2 focus:ring-blue-500">
<i data-feather="map-pin" class="-ml-0.5 mr-2 h-4 w-4"></i>
Use Current Location
</button>
</div>
<div class="ml-3">
<p class="text-sm text-gray-500">
Allow location access for faster service.
</p>
</div>
</div>
</div>
</div>
</div>
<div class="pt-8">
<div>
<h3 class="text-lg font-medium leading-6 text-gray-900">3. Vehicle Details</h3>
<p class="mt-1 text-sm text-gray-500">
Information about your vehicle.
</p>
</div>
<div class="mt-6 grid grid-cols-1 gap-y-6 gap-x-4 sm:grid-cols-6">
<div class="sm:col-span-3">
<label for="vehicle-make" class="block text-sm font-medium text-gray-700">
Make
</label>
<div class="mt-1">
<input type="text" name="vehicle-make" id="vehicle-make" class="shadow-sm focus:ring-blue-500 focus:border-blue-500 block w-full sm:text-sm border-gray-300 rounded-md">
</div>
</div>
<div class="sm:col-span-3">
<label for="vehicle-model" class="block text-sm font-medium text-gray-700">
Model
</label>
<div class="mt-1">
<input type="text" name="vehicle-model" id="vehicle-model" class="shadow-sm focus:ring-blue-500 focus:border-blue-500 block w-full sm:text-sm border-gray-300 rounded-md">
</div>
</div>
<div class="sm:col-span-2">
<label for="vehicle-year" class="block text-sm font-medium text-gray-700">
Year
</label>
<div class="mt-1">
<input type="text" name="vehicle-year" id="vehicle-year" class="shadow-sm focus:ring-blue-500 focus:border-blue-500 block w-full sm:text-sm border-gray-300 rounded-md">
</div>
</div>
<div class="sm:col-span-2">
<label for="vehicle-color" class="block text-sm font-medium text-gray-700">
Color
</label>
<div class="mt-1">
<input type="text" name="vehicle-color" id="vehicle-color" class="shadow-sm focus:ring-blue-500 focus:border-blue-500 block w-full sm:text-sm border-gray-300 rounded-md">
</div>
</div>
<div class="sm:col-span-2">
<label for="vehicle-plate" class="block text-sm font-medium text-gray-700">
License Plate
</label>
<div class="mt-1">
<input type="text" name="vehicle-plate" id="vehicle-plate" class="shadow-sm focus:ring-blue-500 focus:border-blue-500 block w-full sm:text-sm border-gray-300 rounded-md">
</div>
</div>
<div class="sm:col-span-6">
<label for="additional-notes" class="block text-sm font-medium text-gray-700">
Additional Notes
</label>
<div class="mt-1">
<textarea id="additional-notes" name="additional-notes" rows="3" class="shadow-sm focus:ring-blue-500 focus:border-blue-500 block w-full sm:text-sm border-gray-300 rounded-md"></textarea>
</div>
<p class="mt-2 text-sm text-gray-500">
Describe your issue in more detail if needed.
</p>
</div>
</div>
</div>
<div class="pt-8">
<div>
<h3 class="text-lg font-medium leading-6 text-gray-900">4. Contact Information</h3>
<p class="mt-1 text-sm text-gray-500">
How can we reach you?
</p>
</div>
<div class="mt-6 grid grid-cols-1 gap-y-6 gap-x-4 sm:grid-cols-6">
<div class="sm:col-span-3">
<label for="first-name" class="block text-sm font-medium text-gray-700">
First name
</label>
<div class="mt-1">
<input type="text" name="first-name" id="first-name" autocomplete="given-name" class="shadow-sm focus:ring-blue-500 focus:border-blue-500 block w-full sm:text-sm border-gray-300 rounded-md">
</div>
</div>
<div class="sm:col-span-3">
<label for="last-name" class="block text-sm font-medium text-gray-700">
Last name
</label>
<div class="mt-1">
<input type="text" name="last-name" id="last-name" autocomplete="family-name" class="shadow-sm focus:ring-blue-500 focus:border-blue-500 block w-full sm:text-sm border-gray-300 rounded-md">
</div>
</div>
<div class="sm:col-span-4">
<label for="email" class="block text-sm font-medium text-gray-700">
Email address
</label>
<div class="mt-1">
<input type="email" name="email" id="email" autocomplete="email" class="shadow-sm focus:ring-blue-500 focus:border-blue-500 block w-full sm:text-sm border-gray-300 rounded-md">
</div>
</div>
<div class="sm:col-span-4">
<label for="phone" class="block text-sm font-medium text-gray-700">
Phone number
</label>
<div class="mt-1">
<input type="text" name="phone" id="phone" autocomplete="tel" class="shadow-sm focus:ring-blue-500 focus:border-blue-500 block w-full sm:text-sm border-gray-300 rounded-md">
</div>
</div>
<div class="sm:col-span-6">
<div class="flex items-start">
<div class="flex items-center h-5">
<input id="terms" name="terms" type="checkbox" class="focus:ring-blue-500 h-4 w-4 text-blue-600 border-gray-300 rounded">
</div>
<div class="ml-3 text-sm">
<label for="terms" class="font-medium text-gray-700">
I agree to the <a href="#" class="text-blue-600 hover:text-blue-500">Terms of Service</a> and <a href="#" class="text-blue-600 hover:text-blue-500">Privacy Policy</a>
</label>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="mt-8 border-t border-gray-200 pt-5">
<div class="flex justify-between">
<button type="button" class="inline-flex items-center px-4 py-2 border border-gray-300 shadow-sm text-sm font-medium rounded-md text-gray-700 bg-white hover:bg-gray-50 focus:outline-none focus:ring-2 focus:ring-offset-2 focus:ring-blue-500">
<i data-feather="arrow-left" class="-ml-1 mr-2 h-5 w-5"></i>
Back
</button>
<button type="submit" class="ml-3 inline-flex justify-center py-2 px-4 border border-transparent shadow-sm text-sm font-medium rounded-md text-white btn-primary focus:outline-none focus:ring-2 focus:ring-offset-2 focus:ring-blue-500">
Continue to Payment
<i data-feather="arrow-right" class="ml-2 -mr-1 h-5 w-5"></i>
</button>
</div>
</div>
</div>
</div>
</div>
</div>
</main>
<!-- Footer -->
<footer class="bg-white border-t border-gray-200 mt-12">
<div class="max-w-7xl mx-auto py-12 px-4 sm:px-6 lg:px-8">
<div class="flex flex-col md:flex-row justify-between items-center">
<div class="flex items-center">
<i data-feather="tool" class="h-8 w-8 text-blue-600"></i>
<span class="ml-2 text-xl font-bold text-gray-900">RoadResQ</span>
</div>
<div class="mt-4 md:mt-0">
<p class="text-center text-base text-gray-500">
© 2023 RoadResQ. All rights reserved.
</p>
</div>
<div class="mt-4 md:mt-0 flex space-x-6">
<a href="#" class="text-gray-400 hover:text-gray-500">
<i data-feather="facebook" class="h-6 w-6"></i>
</a>
<a href="#" class="text-gray-400 hover:text-gray-500">
<i data-feather="twitter" class="h-6 w-6"></i>
</a>
<a href="#" class="text-gray-400 hover:text-gray-500">
<i data-feather="instagram" class="h-6 w-6"></i>
</a>
</div>
</div>
</div>
</footer>
</div>
<script>
feather.replace();
// Service selection functionality
document.querySelectorAll('.service-card').forEach(card => {
card.addEventListener('click', function() {
// Remove selected class from all cards
document.querySelectorAll('.service-card').forEach(c => {
c.classList.remove('selected');
});
// Add selected class to clicked card
this.classList.add('selected');
});
});
</script>
</body>
</html>
|