local-issues-tracker_frontend/report.html at main · Cent-Dave/local-issues-tracker_frontend · GitHub

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<!doctype html>
<html lang="en">
  <head>
    <meta charset="UTF-8" />
    <meta name="viewport" content="width=device-width, initial-scale=1.0" />
    <title>Report Community Issue</title>
    <link rel="stylesheet" href="css/style.css" />
    <link
      rel="stylesheet"
      href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/6.4.0/css/all.min.css"
    />
  </head>
  <body>
    <!-- Sidebar -->
    <aside class="sidebar">
      <div class="sidebar-header">
        <img src="./images/logo.jpg" alt="logo" class="sidebar-logo" />
        <h2>
          <span class="logo-text">Comm</span
          ><span class="logo-highlight">Connect</span>
        </h2>
      </div>
      <ul class="sidebar-menu">
        <li>
          <a href="home.html"><i class="fas fa-home"></i> Home</a>
        </li>
        <li>
          <a href="report.html" class="active"
            ><i class="fas fa-plus-circle"></i> Report Issue</a
          >
        </li>
        <li>
          <a href="issues.html"><i class="fas fa-list"></i> View Issues</a>
        </li>
        <li>
          <a href="admin.html"><i class="fas fa-user-shield"></i> Admin</a>
        </li>
        <li>
          <button id="logoutBtn" class="btn-logout">
            <i class="fas fa-power-off"></i> Logout
          </button>
        </li>
      </ul>
    </aside>

    <!-- Main Content -->
    <main class="main-content">
      <header class="page-header">
        <h1>Report a Community Issue</h1>
      </header>

      <section class="form-section">
        <form id="issueForm" class="issue-form">
          <div class="form-group">
            <label for="reporterName">Your Name</label>
            <input
              type="text"
              id="reporterName"
              class="form-control"
              placeholder="Enter your name"
              required
            />
          </div>

          <div class="form-group">
            <label for="contactInfo">Phone or Email</label>
            <input
              type="text"
              id="contactInfo"
              class="form-control"
              placeholder="Enter contact info"
              required
            />
          </div>

          <div class="form-group">
            <label for="title">Issue Title</label>
            <input
              type="text"
              id="title"
              class="form-control"
              placeholder="Enter title"
              required
            />
          </div>

          <div class="form-group">
            <label for="description">Description</label>
            <textarea
              id="description"
              class="form-control"
              placeholder="Describe the issue"
              required
            ></textarea>
          </div>

          <div class="form-group">
            <label for="category">Category</label>
            <select id="category" class="form-control" required>
              <option value="">---Select Category---</option>
              <option value="Road Damage">Road Damage</option>
              <option value="Power Outage">Power Outage</option>
              <option value="Water Supply">Water Supply</option>
              <option value="Waste Management">Waste Management</option>
              <option value="Security">Security</option>
            </select>
          </div>

          <div class="form-group">
            <label for="location">Location</label>
            <input
              type="text"
              id="location"
              class="form-control"
              placeholder="Enter location"
              required
            />
          </div>

          <button type="submit" class="btn-submit">Submit Issue</button>
        </form>

        <p id="message" class="form-message"></p>
      </section>
    </main>

    <!-- Footer -->
    <footer class="footer">
      <div class="footer-container">
        <!-- About / Project -->
        <div class="footer-section about">
          <h3>Community Issue Reporting</h3>
          <p>
            Helping communities report problems quickly<br />
            and efficiently.
          </p>
        </div>

        <!-- Quick Links -->
        <div class="footer-section links">
          <h4>Quick Links</h4>
          <ul>
            <li><a href="home.html">Home</a></li>
            <li><a href="report.html">Report Issue</a></li>
            <li><a href="issues.html">View Issues</a></li>
            <li><a href="admin.html">Admin</a></li>
          </ul>
        </div>

        <!-- Contact Info -->
        <div class="footer-section contact">
          <h4>Contact Us</h4>
          <p>Email: ebukaigbokwe04@gmail.com</p>
          <p>Phone: +234 804 083 3088</p>
          <div class="social-icons">
            <a href="https://www.facebook.com/ebuka.igbokwe.777"
              ><i class="fab fa-facebook"></i> Facebook</a
            >
            <a href="https://x.com/IgbokweEbuka04"
              ><i class="fab fa-twitter"></i> X</a
            >
            <a href="https://www.instagram.com/igbokwechukwuebukadavid"
              ><i class="fab fa-instagram"></i> Instagram</a
            >
            <a href="https://www.linkedin.com/in/chukwuebuka-igbokwe-19949b30a?"
              ><i class="fab fa-linkedin"></i> LinkedIn</a
            >
          </div>
        </div>
      </div>

      <div class="footer-bottom">
        <p>&copy; 2026 Community Issue Reporting. All rights reserved.</p>
      </div>
    </footer>

    <script src="js/reportIssue.js"></script>
  </body>
</html>