isi.php

<div style="margin-top: 10px;">
	<form action="#" method="post" class="form-check" id="form-check-id">
		<div class="row">
			<div class="col-md-12">
				<div class="form-group">
					<span><small>Nama Pemilik :</small></span> <input
						class="form-control requiered" name="nama_pemilik"
						placeholder="Nama Pemilik" type="text" autocomplete="off">
				</div>
			</div>
		</div>
		<div class="row">
			<div class="col-md-6">
				<div class="form-group">
					<span><small>Jenis Kucing :</small></span> <select
						name="jenis_kucing" class="form-control requiered"
						autocomplete="off">
						<option value="" selected>--Pilih Salah Satu--</option>
						<?php
						if ($jenis_kucing && is_array ( $jenis_kucing )) {
							$index = 0;
							foreach ( $jenis_kucing as $_jenis ) {
								$selected = $index == 0 ? 'selected' : '';
								echo "<option value=\"{$_jenis->id}\" $selected>{$_jenis->nama_jenis}</option>";
								$index ++;
							}
						}
						?>
					</select>
				</div>
			</div>
			<div class="col-md-6">
				<div class="form-group">
					<span><small>Varietas Kucing :</small></span> <select
						name="varietas_kucing" class="form-control requiered"
						autocomplete="off">
						<option value="" selected>--Pilih Salah Satu--</option>
						<?php
						if ($varietas_kucing && is_array ( $varietas_kucing )) {
							$index = 0;
							foreach ( $varietas_kucing as $_jenis ) {
								$selected = $index == 0 ? 'selected' : '';
								echo "<option value=\"{$_jenis->id}\" $selected>{$_jenis->nama_jenis}</option>";
								$index ++;
							}
						}
						?>
					</select>
				</div>
			</div>
		</div>
		<div class="row">
			<div class="col-md-6">
				<div class="form-group">
					<span><small>Jenis Kelamin Kucing :</small></span> <select
						name="kelamin_kucing" class="form-control requiered"
						autocomplete="off">
						<option value="">--Pilih Salah Satu--</option>
						<option value="J" selected>Jantan</option>
						<option value="B">Betina</option>
					</select>
				</div>
			</div>
			<div class="col-md-6">
				<div class="form-group">
					<span><small>Usia : (dalam bulan)</small></span> <input
						class="form-control requiered" name="usia" placeholder="Usia"
						type="text" data-type="integer" autocomplete="off">
				</div>
			</div>
		</div>
		<div class="row">
			<div class="col-md-12">
				<div class="form-group">
					<span><small>Lokasi Tempat Pemeliharan :</small></span>
					<textarea class="form-control requiered" name="lokasi_pemeliharaan"
						placeholder="Lokasi Tempat Pemeliharan" style="resize: none;"
						type="text"></textarea>
				</div>
			</div>
		</div>
		<div class="row">
			<div class="col-md-12">
				<div class="form-group">
					<button type="submit" name="submit"
						class="btn btn-primary form-control" value="submit">Mulai
						Konsultasi</button>
				</div>
			</div>
		</div>
	</form>
</div>
<script type="text/javascript">
$("#form-check-id").submit(function(e) {

	var isReady = false;

	var inputs = $(this).find('.requiered');
	var success = 0;
	for (var i = 0; i < inputs.length; i++) {
		var _in = $(inputs[i]);
		var _val = _in.val();
		if (_val == '') {
			_in.focus();
			break;
		}
		else
		{
			success = success + 1;
		}
	}
	if (success >= inputs.length) {
		var $input = $("<input type='hidden' name='session_id_valid requiered' value='<?php echo $session_id_valid;?>'/>")
		$(this).append($input);
		isReady = true;
	};

	return isReady;
});
</script>