|
12 | 12 | {% endblock %} |
13 | 13 |
|
14 | 14 | {% block content %} |
15 | | -<div class="nhsuk-grid-row"> |
16 | | - <div class="nhsuk-grid-column-two-thirds"> |
17 | | - |
18 | | - <form action="/templates/check-your-answers" method="post" class="form"> |
19 | | - |
20 | | - {{ radios({ |
21 | | - "idPrefix": "example", |
22 | | - "name": "example", |
23 | | - "fieldset": { |
24 | | - "legend": { |
25 | | - "text": "Where do you want your pharmacy to be close to?", |
26 | | - "classes": "nhsuk-fieldset__legend--l", |
27 | | - "isPageHeading": true |
28 | | - } |
29 | | - {{ hint({ |
30 | | - "html": '<p>Choose a location closest to your preferred pharmacy.</p>', |
31 | | - "classes": "nhsuk-u-margin-bottom-4" |
32 | | - }) }} |
33 | | - }, |
34 | | - |
35 | | - "items": [ |
36 | | - { |
37 | | - "value": "yes", |
38 | | - "text": "Current address" |
39 | | - }, |
40 | | - { |
41 | | - "value": "yes", |
42 | | - "text": "New GP surgery" |
43 | | - }, |
44 | | - { |
45 | | - "value": "no", |
46 | | - "text": "Somewhere else" |
47 | | - } |
48 | | - ] |
49 | | - }) }} |
50 | | - |
51 | | - {{ button({ |
52 | | - "text": "Continue", |
53 | | - "id": "btn_submit" |
54 | | - }) }} |
55 | | - |
56 | | - <p>[See the <a href="https://service-manual.nhs.uk/design-system/componnets">NHS digital service manual</a> for examples.]</p> |
57 | | - |
58 | | - </form> |
59 | | - |
60 | | - </div> |
| 15 | +<div class="nhsuk-form-group"> |
| 16 | + |
| 17 | + <fieldset class="nhsuk-fieldset" aria-describedby="example-hints-hint"> |
| 18 | + <legend class="nhsuk-fieldset__legend nhsuk-fieldset__legend--l"> |
| 19 | + <h1 class="nhsuk-fieldset__heading"> |
| 20 | + Do you know your NHS number? |
| 21 | + </h1> |
| 22 | + </legend> |
| 23 | + <div class="nhsuk-hint" id="example-hints-hint"> |
| 24 | + <p class="nhsuk-u-margin-bottom-2">This is a 10 digit number, like 485 777 3456.</p> |
| 25 | + <p>You can find it on any letter the NHS has sent you, on a prescription or by logging in to a GP practice online service.</p> |
| 26 | + </div> |
| 27 | + <div class="nhsuk-radios"> |
| 28 | + <div class="nhsuk-radios__item"> |
| 29 | + <input class="nhsuk-radios__input" id="example-hints-1" name="example-hints" type="radio" value="yes"> |
| 30 | + <label class="nhsuk-label nhsuk-radios__label" for="example-hints-1"> |
| 31 | + Yes, I know my NHS number |
| 32 | + </label> |
| 33 | + </div> |
| 34 | + <div class="nhsuk-radios__item"> |
| 35 | + <input class="nhsuk-radios__input" id="example-hints-2" name="example-hints" type="radio" value="no"> |
| 36 | + <label class="nhsuk-label nhsuk-radios__label" for="example-hints-2"> |
| 37 | + No, I do not know my NHS number |
| 38 | + </label> |
| 39 | + </div> |
| 40 | + <div class="nhsuk-radios__item"> |
| 41 | + <input class="nhsuk-radios__input" id="example-hints-3" name="example-hints" type="radio" value="not sure"> |
| 42 | + <label class="nhsuk-label nhsuk-radios__label" for="example-hints-3"> |
| 43 | + I'm not sure |
| 44 | + </label> |
| 45 | + </div> |
| 46 | + </div> |
| 47 | + </fieldset> |
61 | 48 | </div> |
62 | | - |
63 | 49 | {% endblock %} |
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