@php
    $lead = $lead ?? null;
@endphp
<div class="form-group">
    <label for="name">{{ __('clinic.crm_name') }}</label>
    <input id="name" class="form-control" name="name" value="{{ old('name', $lead->name ?? '') }}" required>
    @error('name')<div class="error-text">{{ $message }}</div>@enderror
</div>
<div class="form-group">
    <label for="email">{{ __('clinic.crm_email') }}</label>
    <input id="email" class="form-control" type="email" name="email" value="{{ old('email', $lead->email ?? '') }}">
    @error('email')<div class="error-text">{{ $message }}</div>@enderror
</div>
<div class="form-group">
    <label for="phone">{{ __('clinic.crm_phone') }}</label>
    <input id="phone" class="form-control" name="phone" value="{{ old('phone', $lead->phone ?? '') }}">
    @error('phone')<div class="error-text">{{ $message }}</div>@enderror
</div>
<div class="form-group">
    <label for="source">{{ __('clinic.crm_source') }}</label>
    <input id="source" class="form-control" name="source" value="{{ old('source', $lead->source ?? '') }}" placeholder="Facebook, Website, …">
    @error('source')<div class="error-text">{{ $message }}</div>@enderror
</div>
<div class="form-group">
    <label for="pipeline_stage_id">{{ __('clinic.crm_stage') }}</label>
    <select id="pipeline_stage_id" class="form-control" name="pipeline_stage_id" required>
        @foreach ($stages as $s)
            <option value="{{ $s->id }}" @selected((string)old('pipeline_stage_id', $lead->pipeline_stage_id ?? '') === (string)$s->id)>{{ $s->name }}</option>
        @endforeach
    </select>
    @error('pipeline_stage_id')<div class="error-text">{{ $message }}</div>@enderror
</div>
<div class="form-group">
    <label for="assigned_to">{{ __('clinic.crm_assigned_agent') }}</label>
    <select id="assigned_to" class="form-control" name="assigned_to">
        <option value="">—</option>
        @foreach ($agents as $a)
            <option value="{{ $a->id }}" @selected((string)old('assigned_to', $lead->assigned_to ?? '') === (string)$a->id)>{{ $a->name }}</option>
        @endforeach
    </select>
    @error('assigned_to')<div class="error-text">{{ $message }}</div>@enderror
</div>
<div class="form-group">
    <label for="notes">{{ __('clinic.crm_notes') }}</label>
    <textarea id="notes" class="form-control" name="notes">{{ old('notes', $lead->notes ?? '') }}</textarea>
    @error('notes')<div class="error-text">{{ $message }}</div>@enderror
</div>