2023-09-05 12:29:08 +05:30

243 lines
9.1 KiB
TypeScript

import { FormControl, FormControlLabel, FormLabel, Grid, Radio, RadioGroup, TextField } from "@mui/material";
import React from "react";
interface FormValues {
hobbies: string;
educationLevel: string;
excercise: string;
excerciseExplanation: string;
tobacco: string;
tobaccoExplanation: string;
alcohol: string;
alcoholExplanation: string;
healthyDiet: string;
healthyDietExplanation: string;
sleep: string;
sleepExplanation: string;
workSchool: string;
workSchoolExplanation: string;
familyLife: string;
familyLifeExplanation: string;
drugs: string;
drugsExplanation:string;
}
export default function RecreationalHobbiesSection7(){
return(
<>
<Grid container direction="row">
<Grid item xs={12} className='collapsable-form-style-multiline'>
<FormLabel>Recreational Activities/Hobbies:</FormLabel><br></br>
<TextField
multiline
variant="outlined"
label=""
name='explanation'
value=''
disabled
/>
</Grid>
<Grid item xs={12} className='collapsable-form-style-radioButtons'>
<FormControl>
<FormLabel>Your education level:</FormLabel>
<RadioGroup
sx={{display:'flex', flexDirection:'row'}}
>
<FormControlLabel value="High School" control={<Radio />} label="High School" />
<FormControlLabel value="Some college" control={<Radio />} label="Some college" />
<FormControlLabel value="College Graduate" control={<Radio />} label="College Graduate" />
<FormControlLabel value="Post college" control={<Radio />} label="Post college" />
<FormControlLabel value="Other" control={<Radio />} label="Other" />
</RadioGroup>
</FormControl>
</Grid>
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
<FormControl>
<FormLabel>Do you excercise?</FormLabel>
<RadioGroup
name="painDuration"
sx={{display:'flex', flexDirection:'row'}}
>
<FormControlLabel value="Yes" control={<Radio />} label="Yes" />
<FormControlLabel value="No" control={<Radio />} label="No" />
</RadioGroup>
</FormControl>
</Grid>
<Grid item xs={6} className='collapsable-form-style-form7'>
<TextField
disabled
variant="outlined"
label="Times per week?"
name='treatmentGoal'
value=''
/>
</Grid>
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
<FormControl>
<FormLabel>Use tobacco?</FormLabel>
<RadioGroup
name="painDuration"
sx={{display:'flex', flexDirection:'row'}}
>
<FormControlLabel value="Yes" control={<Radio />} label="Yes" />
<FormControlLabel value="No" control={<Radio />} label="No" />
</RadioGroup>
</FormControl>
</Grid>
<Grid item xs={6} className='collapsable-form-style-form7'>
<TextField
disabled
variant="outlined"
label="Packs/Cans per day(If you have quit, when did you quit?)"
name='treatmentGoal'
value=''
/>
</Grid>
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
<FormControl>
<FormLabel>Consume alcohol?</FormLabel>
<RadioGroup
name="painDuration"
sx={{display:'flex', flexDirection:'row'}}
>
<FormControlLabel value="Yes" control={<Radio />} label="Yes" />
<FormControlLabel value="No" control={<Radio />} label="No" />
</RadioGroup>
</FormControl>
</Grid>
<Grid item xs={6} className='collapsable-form-style-form7'>
<TextField
disabled
variant="outlined"
label="How many drinks per week?"
name='treatmentGoal'
value=''
/>
</Grid>
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
<FormControl>
<FormLabel>Have a healthy diet?</FormLabel>
<RadioGroup
name="painDuration"
sx={{display:'flex', flexDirection:'row'}}
>
<FormControlLabel value="Yes" control={<Radio />} label="Yes" />
<FormControlLabel value="No" control={<Radio />} label="No" />
</RadioGroup>
</FormControl>
</Grid>
<Grid item xs={6} className='collapsable-form-style-form7'>
<TextField
disabled
variant="outlined"
label="If no, explain"
name='treatmentGoal'
value=''
/>
</Grid>
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
<FormControl>
<FormLabel>Get adequate sleep?</FormLabel>
<RadioGroup
name="painDuration"
sx={{display:'flex', flexDirection:'row'}}
>
<FormControlLabel value="Yes" control={<Radio />} label="Yes" />
<FormControlLabel value="No" control={<Radio />} label="No" />
</RadioGroup>
</FormControl>
</Grid>
<Grid item xs={6} className='collapsable-form-style-form7'>
<TextField
disabled
variant="outlined"
label="If no, explain"
name='treatmentGoal'
value=''
/>
</Grid>
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
<FormControl>
<FormLabel>Is Work/School stressful to you?</FormLabel>
<RadioGroup
name="painDuration"
sx={{display:'flex', flexDirection:'row'}}
>
<FormControlLabel value="Yes" control={<Radio />} label="Yes" />
<FormControlLabel value="No" control={<Radio />} label="No" />
</RadioGroup>
</FormControl>
</Grid>
<Grid item xs={6} className='collapsable-form-style-form7'>
<TextField
variant="outlined"
label="If yes, explain"
name='treatmentGoal'
value=''
disabled
/>
</Grid>
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
<FormControl>
<FormLabel>Family life stressful to you?</FormLabel>
<RadioGroup
name="painDuration"
sx={{display:'flex', flexDirection:'row'}}
>
<FormControlLabel value="Yes" control={<Radio />} label="Yes" />
<FormControlLabel value="No" control={<Radio />} label="No" />
</RadioGroup>
</FormControl>
</Grid>
<Grid item xs={6} className='collapsable-form-style-form7'>
<TextField
disabled
variant="outlined"
label="If yes, explain"
name='treatmentGoal'
value=''
/>
</Grid>
<Grid item xs={6} className='collapsable-form-style-radioButtons'>
<FormControl>
<FormLabel>Use recreational drugs?</FormLabel>
<RadioGroup
name="painDuration"
sx={{display:'flex', flexDirection:'row'}}
>
<FormControlLabel value="Yes" control={<Radio />} label="Yes" />
<FormControlLabel value="No" control={<Radio />} label="No" />
</RadioGroup>
</FormControl>
</Grid>
<Grid item xs={6} className='collapsable-form-style-form7'>
<TextField
disabled
variant="outlined"
label="If yes, explain"
name='treatmentGoal'
value=''
/>
</Grid>
</Grid>
</>
)
}