Add src/app/book-appointment/page.tsx

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2026-03-07 13:05:25 +00:00
parent 0cb01906c1
commit 5b4a490ba7

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"use client";
import { useState } from "react";
import { Calendar, Phone, Mail, User, MessageSquare } from "lucide-react";
import { ThemeProvider } from "@/providers/themeProvider/ThemeProvider";
import NavbarLayoutFloatingInline from "@/components/navbar/NavbarLayoutFloatingInline";
import FooterLogoReveal from "@/components/sections/footer/FooterLogoReveal";
import Textarea from "@/components/form/Textarea";
interface FormData {
fullName: string;
email: string;
phone: string;
serviceType: string;
preferredDate: string;
preferredTime: string;
message: string;
}
interface FormErrors {
[key: string]: string;
}
export default function BookAppointmentPage() {
const [formData, setFormData] = useState<FormData>({
fullName: "", email: "", phone: "", serviceType: "", preferredDate: "", preferredTime: "", message: ""});
const [errors, setErrors] = useState<FormErrors>({});
const [submitted, setSubmitted] = useState(false);
const validateForm = (): boolean => {
const newErrors: FormErrors = {};
if (!formData.fullName.trim()) {
newErrors.fullName = "Full name is required";
}
if (!formData.email.trim()) {
newErrors.email = "Email is required";
} else if (!/^[^\s@]+@[^\s@]+\.[^\s@]+$/.test(formData.email)) {
newErrors.email = "Please enter a valid email address";
}
if (!formData.phone.trim()) {
newErrors.phone = "Phone number is required";
} else if (!/^[\d\s\-\+\(\)]+$/.test(formData.phone) || formData.phone.replace(/\D/g, "").length < 9) {
newErrors.phone = "Please enter a valid phone number";
}
if (!formData.serviceType) {
newErrors.serviceType = "Please select a service";
}
if (!formData.preferredDate) {
newErrors.preferredDate = "Please select a preferred date";
}
if (!formData.preferredTime) {
newErrors.preferredTime = "Please select a preferred time";
}
setErrors(newErrors);
return Object.keys(newErrors).length === 0;
};
const handleSubmit = (e: React.FormEvent) => {
e.preventDefault();
if (validateForm()) {
setSubmitted(true);
setFormData({
fullName: "", email: "", phone: "", serviceType: "", preferredDate: "", preferredTime: "", message: ""});
setTimeout(() => {
setSubmitted(false);
}, 5000);
}
};
const handleChange = (e: React.ChangeEvent<HTMLInputElement | HTMLSelectElement>) => {
const { name, value } = e.target;
setFormData((prev) => ({
...prev,
[name]: value,
}));
if (errors[name]) {
setErrors((prev) => {
const newErrors = { ...prev };
delete newErrors[name];
return newErrors;
});
}
};
const handleTextareaChange = (value: string) => {
setFormData((prev) => ({
...prev,
message: value,
}));
};
return (
<ThemeProvider
defaultButtonVariant="icon-arrow"
defaultTextAnimation="entrance-slide"
borderRadius="soft"
contentWidth="smallMedium"
sizing="largeSmallSizeLargeTitles"
background="circleGradient"
cardStyle="solid"
primaryButtonStyle="radial-glow"
secondaryButtonStyle="solid"
headingFontWeight="semibold"
>
<div id="nav" data-section="nav">
<NavbarLayoutFloatingInline
brandName="Rehoboth Dental"
navItems={[
{ name: "Home", id: "/" },
{ name: "About", id: "about" },
{ name: "Services", id: "/services" },
{ name: "Contact", id: "contact" },
]}
button={{ text: "Book Appointment", href: "/book-appointment" }}
animateOnLoad={true}
/>
</div>
<div id="booking" data-section="booking" className="min-h-screen bg-background py-20 px-4 md:px-8">
<div className="max-w-2xl mx-auto">
<div className="mb-12 text-center">
<h1 className="text-4xl md:text-5xl font-bold text-foreground mb-4">Book Your Appointment</h1>
<p className="text-lg text-foreground/70">Schedule your visit to Rehoboth Dental Clinic</p>
</div>
{submitted && (
<div className="mb-8 p-6 bg-green-50 border border-green-200 rounded-lg">
<p className="text-green-800 font-medium"> Your appointment request has been submitted successfully! We'll contact you shortly to confirm your booking.</p>
</div>
)}
<form onSubmit={handleSubmit} className="bg-card rounded-lg p-8 md:p-12 shadow-lg border border-background-accent">
<div className="grid grid-cols-1 md:grid-cols-2 gap-6 mb-6">
{/* Full Name */}
<div>
<label className="block text-foreground font-medium mb-2 flex items-center gap-2">
<User size={18} />
Full Name
</label>
<input
type="text"
name="fullName"
value={formData.fullName}
onChange={handleChange}
className={`w-full px-4 py-3 bg-background border rounded-lg focus:outline-none transition ${
errors.fullName
? "border-red-500 focus:ring-2 focus:ring-red-200"
: "border-background-accent focus:ring-2 focus:ring-primary-cta/20"
} text-foreground placeholder-foreground/50`}
placeholder="Enter your full name"
/>
{errors.fullName && <p className="text-red-600 text-sm mt-2">{errors.fullName}</p>}
</div>
{/* Email */}
<div>
<label className="block text-foreground font-medium mb-2 flex items-center gap-2">
<Mail size={18} />
Email Address
</label>
<input
type="email"
name="email"
value={formData.email}
onChange={handleChange}
className={`w-full px-4 py-3 bg-background border rounded-lg focus:outline-none transition ${
errors.email
? "border-red-500 focus:ring-2 focus:ring-red-200"
: "border-background-accent focus:ring-2 focus:ring-primary-cta/20"
} text-foreground placeholder-foreground/50`}
placeholder="your.email@example.com"
/>
{errors.email && <p className="text-red-600 text-sm mt-2">{errors.email}</p>}
</div>
{/* Phone */}
<div>
<label className="block text-foreground font-medium mb-2 flex items-center gap-2">
<Phone size={18} />
Phone Number
</label>
<input
type="tel"
name="phone"
value={formData.phone}
onChange={handleChange}
className={`w-full px-4 py-3 bg-background border rounded-lg focus:outline-none transition ${
errors.phone
? "border-red-500 focus:ring-2 focus:ring-red-200"
: "border-background-accent focus:ring-2 focus:ring-primary-cta/20"
} text-foreground placeholder-foreground/50`}
placeholder="+250 792 891 566"
/>
{errors.phone && <p className="text-red-600 text-sm mt-2">{errors.phone}</p>}
</div>
{/* Service Type */}
<div>
<label className="block text-foreground font-medium mb-2 flex items-center gap-2">
<Stethoscope size={18} />
Service Type
</label>
<select
name="serviceType"
value={formData.serviceType}
onChange={handleChange}
className={`w-full px-4 py-3 bg-background border rounded-lg focus:outline-none transition ${
errors.serviceType
? "border-red-500 focus:ring-2 focus:ring-red-200"
: "border-background-accent focus:ring-2 focus:ring-primary-cta/20"
} text-foreground`}
>
<option value="">Select a service...</option>
<option value="checkup">General Dental Checkup</option>
<option value="cleaning">Professional Teeth Cleaning</option>
<option value="filling">Tooth Filling & Restoration</option>
<option value="extraction">Tooth Extraction</option>
<option value="orthodontics">Braces & Orthodontics</option>
<option value="whitening">Professional Teeth Whitening</option>
<option value="emergency">Emergency Dental Care</option>
</select>
{errors.serviceType && <p className="text-red-600 text-sm mt-2">{errors.serviceType}</p>}
</div>
{/* Preferred Date */}
<div>
<label className="block text-foreground font-medium mb-2 flex items-center gap-2">
<Calendar size={18} />
Preferred Date
</label>
<input
type="date"
name="preferredDate"
value={formData.preferredDate}
onChange={handleChange}
className={`w-full px-4 py-3 bg-background border rounded-lg focus:outline-none transition ${
errors.preferredDate
? "border-red-500 focus:ring-2 focus:ring-red-200"
: "border-background-accent focus:ring-2 focus:ring-primary-cta/20"
} text-foreground`}
/>
{errors.preferredDate && <p className="text-red-600 text-sm mt-2">{errors.preferredDate}</p>}
</div>
{/* Preferred Time */}
<div>
<label className="block text-foreground font-medium mb-2">Preferred Time</label>
<select
name="preferredTime"
value={formData.preferredTime}
onChange={handleChange}
className={`w-full px-4 py-3 bg-background border rounded-lg focus:outline-none transition ${
errors.preferredTime
? "border-red-500 focus:ring-2 focus:ring-red-200"
: "border-background-accent focus:ring-2 focus:ring-primary-cta/20"
} text-foreground`}
>
<option value="">Select a time...</option>
<option value="08:00">8:00 AM</option>
<option value="09:00">9:00 AM</option>
<option value="10:00">10:00 AM</option>
<option value="11:00">11:00 AM</option>
<option value="12:00">12:00 PM</option>
<option value="13:00">1:00 PM</option>
<option value="14:00">2:00 PM</option>
<option value="15:00">3:00 PM</option>
<option value="16:00">4:00 PM</option>
<option value="17:00">5:00 PM</option>
<option value="18:00">6:00 PM</option>
<option value="19:00">7:00 PM</option>
<option value="20:00">8:00 PM</option>
</select>
{errors.preferredTime && <p className="text-red-600 text-sm mt-2">{errors.preferredTime}</p>}
</div>
</div>
{/* Message */}
<div className="mb-8">
<label className="block text-foreground font-medium mb-2 flex items-center gap-2">
<MessageSquare size={18} />
Additional Message (Optional)
</label>
<Textarea
value={formData.message}
onChange={handleTextareaChange}
placeholder="Tell us about any specific concerns or preferences..."
rows={5}
/>
</div>
{/* Submit Button */}
<div className="flex gap-4">
<button
type="submit"
className="flex-1 bg-primary-cta hover:bg-primary-cta/90 text-white font-semibold py-3 px-6 rounded-lg transition duration-200 ease-in-out"
>
Book Appointment
</button>
<button
type="reset"
onClick={() => {
setFormData({
fullName: "", email: "", phone: "", serviceType: "", preferredDate: "", preferredTime: "", message: ""});
setErrors({});
}}
className="flex-1 bg-secondary-cta hover:bg-secondary-cta/90 text-foreground font-semibold py-3 px-6 rounded-lg transition duration-200 ease-in-out border border-background-accent"
>
Clear Form
</button>
</div>
</form>
{/* Contact Info */}
<div className="mt-12 grid grid-cols-1 md:grid-cols-3 gap-6">
<div className="bg-card rounded-lg p-6 text-center">
<Phone className="w-8 h-8 text-primary-cta mx-auto mb-3" />
<h3 className="text-foreground font-semibold mb-2">Call Us</h3>
<p className="text-foreground/70">+250 792 891 566</p>
</div>
<div className="bg-card rounded-lg p-6 text-center">
<Mail className="w-8 h-8 text-primary-cta mx-auto mb-3" />
<h3 className="text-foreground font-semibold mb-2">Email Us</h3>
<p className="text-foreground/70">info@rehobothdental.rw</p>
</div>
<div className="bg-card rounded-lg p-6 text-center">
<Calendar className="w-8 h-8 text-primary-cta mx-auto mb-3" />
<h3 className="text-foreground font-semibold mb-2">Clinic Hours</h3>
<p className="text-foreground/70">Mon-Sat: 8:00 AM - 8:00 PM</p>
</div>
</div>
</div>
</div>
<div id="footer" data-section="footer">
<FooterLogoReveal
logoText="Rehoboth Dental"
leftLink={{ text: "Privacy Policy", href: "#" }}
rightLink={{ text: "Terms of Service", href: "#" }}
/>
</div>
</ThemeProvider>
);
}