{% extends "base.html" %} {% load i18n %} {% load widget_tweaks %} {% load static %} {% block title %}{% trans "Your Special Mention" %}{% endblock %} {% block content %}
{% if profile.avatar and not profile.enabled_privacy_mode %}
Picture of {{ profile }}
{% else %}
{% if profile.preferred_name %}{{ profile.preferred_name|make_list|first }}{% else %}{{ profile.user.first_name|make_list|first }}{% endif %}{{ profile.user.last_name|make_list|first }}
{% endif %}

{{ profile }}

{% include 'carers/partials/organization_details.html' with profile=profile %}

Your Special Mention

{% csrf_token %}

{{ form.rating }}
{% with ''|center:5 as range %} {% for _ in range %} {% include 'components/icons/icon-star.html' %} {% endfor %} {% endwith %}

{{ form.text|attr:"placeholder:Example: He/She is amazing, they looked after my father and they built an amazing relationship!" }} {% include 'components/form_field_errors.html' with field=form.text %}

{{ form.relationship_to_user|attr:"placeholder:i.e My Fathers carer" }} {% include 'components/form_field_errors.html' with field=form.relationship_to_user %}

Your Contact Details

Please provide your details as we may contact you to authenticate your special mention if necessary. Special Mentions cannot be submitted anonymously.

Your full name may be passed to the caring person or service provider handling special mentions but not to any other third party. Your full name, email and telephone will not be published.

{{ form.reviewer_first_name|attr:"placeholder:First Name" }} {% include 'components/form_field_errors.html' with field=form.reviewer_first_name %}

{{ form.reviewer_last_name|attr:"placeholder:Last Name" }} {% include 'components/form_field_errors.html' with field=form.reviewer_last_name %}

{{ form.reviewer_phone|attr:"placeholder:i.e 07909654389" }} {% include 'components/form_field_errors.html' with field=form.reviewer_phone %}

{{ form.reviewer_email|attr:"placeholder:i.e info@carehome.org.uk" }} {% include 'components/form_field_errors.html' with field=form.reviewer_email %}
{% include 'components/form_field_errors.html' with field=form.display_initials_only %}
{% endblock %}