33 lines
1.6 KiB
Plaintext
33 lines
1.6 KiB
Plaintext
<view class="container">
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<view class="form-section">
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<view class="form-group">
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<text class="label">您的姓名</text>
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<input class="input" placeholder="请输入姓名" value="{{name}}" bindinput="onNameInput" />
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</view>
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<view class="form-group">
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<text class="label">联系方式</text>
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<input class="input" placeholder="请输入手机号" value="{{phone}}" bindinput="onPhoneInput" />
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</view>
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<view class="form-group">
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<text class="label">是否邀请伴侣参与</text>
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<switch checked="{{hasCompanion}}" bindchange="onCompanionChange" />
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<text class="switch-hint" wx:if="{{hasCompanion}}">伴侣将同步收到服务通知</text>
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</view>
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<view class="form-group" wx:if="{{hasCompanion}}">
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<text class="label">伴侣姓名（选填）</text>
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<input class="input" placeholder="伴侣姓名" value="{{companionName}}" bindinput="onCompanionNameInput" />
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</view>
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<view class="form-group">
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<text class="label">期望时间</text>
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<input class="input" placeholder="如：本周末下午" value="{{preferredTime}}" bindinput="onTimeInput" />
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</view>
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<view class="form-group">
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<text class="label">补充说明（选填）</text>
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<textarea class="textarea" placeholder="如有特殊需求请在此说明" value="{{summary}}" bindinput="onSummaryInput" maxlength="300" />
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</view>
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</view>
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<button class="submit-btn" bindtap="onSubmit" loading="{{submitting}}">提交申请</button>
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<text class="tip">婚前辅导为公益免费服务，工作人员将在3个工作日内与您联系</text>
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</view>
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