@if($customFields)
<h5 class="col-12 pb-4">{!! trans('lang.main_fields') !!}</h5>
@endif
<div class="d-flex flex-column col-sm-12 col-md-6">
<!-- Review Field -->
<div class="form-group align-items-baseline d-flex flex-column flex-md-row">
  {!! Form::label('review', trans("lang.clinic_review_review"), ['class' => 'col-md-3 control-label text-md-right mx-1']) !!}
  <div class="col-md-9">
    {!! Form::textarea('review', null, ['class' => 'form-control','placeholder'=>
     trans("lang.clinic_review_review_placeholder")  ]) !!}
    <div class="form-text text-muted">{{ trans("lang.clinic_review_review_help") }}</div>
  </div>
</div>


<!-- Rate Field -->
<div class="form-group align-items-baseline d-flex flex-column flex-md-row">
  {!! Form::label('rate', trans("lang.clinic_review_rate"),['class' => 'col-md-3 control-label text-md-right mx-1']) !!}
  <div class="col-md-9">
    {!! Form::select('rate', ['0' => '0'], null, ['class' => 'select2 form-control']) !!}
    <div class="form-text text-muted">{{ trans("lang.clinic_review_rate_help") }}</div>
  </div>
</div>

</div>
<div class="d-flex flex-column col-sm-12 col-md-6">

<!-- User Id Field -->
<div class="form-group align-items-baseline d-flex flex-column flex-md-row">
  {!! Form::label('user_id', trans("lang.clinic_review_user_id"),['class' => 'col-md-3 control-label text-md-right mx-1']) !!}
  <div class="col-md-9">
    {!! Form::select('user_id', $user, null, ['class' => 'select2 form-control']) !!}
    <div class="form-text text-muted">{{ trans("lang.clinic_review_user_id_help") }}</div>
  </div>
</div>


<!-- Clinic Id Field -->
<div class="form-group align-items-baseline d-flex flex-column flex-md-row">
  {!! Form::label('clinic_id', trans("lang.clinic_review_clinic_id"),['class' => 'col-md-3 control-label text-md-right mx-1']) !!}
  <div class="col-md-9">
    {!! Form::select('clinic_id', $clinic, null, ['class' => 'select2 form-control']) !!}
    <div class="form-text text-muted">{{ trans("lang.clinic_review_clinic_id_help") }}</div>
  </div>
</div>

</div>
@if($customFields)
<div class="clearfix"></div>
<div class="col-12 custom-field-container">
  <h5 class="col-12 pb-4">{!! trans('lang.custom_field_plural') !!}</h5>
  {!! $customFields !!}
</div>
@endif
<!-- Submit Field -->
<div class="form-group col-12 d-flex flex-column flex-md-row justify-content-md-end justify-content-sm-center border-top pt-4">
  <button type="submit" class="btn bg-{{setting('theme_color')}} mx-md-3 my-lg-0 my-xl-0 my-md-0 my-2" ><i class="fas fa-save"></i> {{trans('lang.save')}} {{trans('lang.clinic_review')}}</button>
  <a href="{!! route('clinicReviews.index') !!}" class="btn btn-default"><i class="fas fa-undo"></i> {{trans('lang.cancel')}}</a>
</div>