Form works – If or else statement !!!!!! IS NOT!

[olive21]

Hello

I having a bit of a issue with php, i have created this submission form, however some of the parts should have what if statements and i am not sure how to implement them into my jquery.

here is the actual page.http://www.greatsoutherngroup.ca/contactform.php

here is my php code. everything highlighted in that colour should be a part of the if or else statement. however only the first declaration worked so far(thats the name of the first if or else statement name)
below you will find my jquery code attached

1. How do i continue writing the function in jquery so that when i press yes on first question, one slides out and once i answered that question the other slides out. So on and so forth (one by one)

2. what do i do when it comes to filling out the form the radio buttons don’t appear when i receive the email with text only the first part of the form. Please help

Code:

>
There was a hacking attempt on your form. n
Date of Attack: {$date}
IP-Adress: {$ip} n
Host of Attacker: {$host}
Point of Attack: {$where}
<< End of Message >>
LOG;
// Awkward but LOG must be flush left

// open log file
if($handle = fopen(‘hacklog.log’, ‘a’)) {

fputs($handle, $logging); // write the Data to file
fclose($handle); // close the file

} else { // if first method is not working, for example because of wrong file permissions, email the data

$to = ”;
$subject = ‘HACK ATTEMPT’;
$header = ‘From: ‘;
if (mail($to, $subject, $logging, $header)) {
echo “Sent notice to admin.”;
}

}
}

function verifyFormToken($form) {

// check if a session is started and a token is transmitted, if not return an error
if(!isset($_SESSION[$form.’_token’])) {
return false;
}

// check if the form is sent with token in it
if(!isset($_POST[‘token’])) {
return false;
}

// compare the tokens against each other if they are still the same
if ($_SESSION[$form.’_token’] !== $_POST[‘token’]) {
return false;
}

return true;
}

function generateFormToken($form) {

// generate a token from an unique value, took from microtime, you can also use salt-values, other crypting methods…
$token = md5(uniqid(microtime(), true));

// Write the generated token to the session variable to check it against the hidden field when the form is sent
$_SESSION[$form.’_token’] = $token;

return $token;
}

// INIT
$form = ‘form1’;
$checkWhiteList = false;

// CHECK IF FORM HAS BEEN SUBMITTED
if (isset($_POST[‘token’])) {

// FORM SUBMITTED, VERIFY LEGITIMACY OF TOKEN
if (verifyFormToken($form)) {

// Building a whitelist array with keys which will send through the form, no others would be accepted later on
if ($checkWhiteList) {
$whitelist = array(‘token’,’req-name’,’req-birth’,’req-address’,’req-address-2′,’req-phonenumber’,’req-emailad’,’req-dest’,’req-size’,’adults’,’Child’,’infant’,’req-pref’,’req-date’,’req-dep’,’req-return’,’addURLS’,’mult’,’newText’,’save-stuff’,’declaration’,’declaration4′,’declaration5′,’declaration6′,’declaration7′,’declaration8′,’declaration9′,’declaration10′,’declaration11′,’declaration12′,’declaration13′,’declaration14′,’declaration15′,’declaration16′,’declaration17′,’declaration18′,’declaration19′,’declaration20′,’declaration21′,’declaration22′,’declaration23′,’declaration24′,’declaration25′,’declaration26′,’declaration27′);

// Building an array with the $_POST-superglobal
foreach ($_POST as $key=>$item) {

// Check if the value $key (fieldname from $_POST) can be found in the whitelisting array, if not, die with a short message to the hacker
if (!in_array($key, $whitelist)) {

writeLog(‘Unknown form fields’);
die(“Hack-Attempt detected. Please use only the fields in the form”);

}
}
}

// Lets check the URL whether it’s a real URL or not. if not, stop the script
/*
if(!filter_var($_POST[‘URL-main’],FILTER_VALIDATE_URL)) {
writeLog(‘URL Validation’);
die(‘Hack-Attempt detected. Please insert a valid URL’);
}
*/

// SAVE INFO AS COOKIE, if user wants name and email saved

$saveCheck = (!isset($_POST[‘save-stuff’])) ? ‘off’ : $_POST[‘save-stuff’];
if ($saveCheck == ‘on’) {
setcookie(“WRCF-Name”, $_POST[‘req-name’], time()+60*60*24*365);
setcookie(“WRCF-Email”, $_POST[‘req-email’], time()+60*60*24*365);
}

// PREPARE THE BODY OF THE MESSAGE

$message = ‘‘;

$message .= ‘

‘;

$message .= “

“;

$message .= “

“;

$message .= “

“;

$message .= “

“;

$message .= “

“;

$message .= “

“;

$message .= “

“;

$message .= “

“;

$message .= “

“;

//$message .= “

“;

$message .= “

“;

$addURLS = $_POST[‘addURLS’];
if (($addURLS) != ”) {
$message .= “

“;
}

$message .= “

“;
$message .= “

Applicants Name:	” . strip_tags($_POST[‘req-name’]) . “
Date of Birth:	” . strip_tags($_POST[‘req-birth’]) . “
Adress:	” . strip_tags($_POST[‘req-adress’]) . “
Adress:	” . strip_tags($_POST[‘req-adress-2’]) . “
Phone Number:	” . strip_tags($_POST[‘req-phonenumber’]) . “
Email Address:	” . strip_tags($_POST[‘req-emailad’]) . “
Departure Date:	” . strip_tags($_POST[‘req-dep’]) . “
Return Date:	” . strip_tags($_POST[‘req-return’]) . “
Destination:	” . strip_tags($_POST[‘req-dest’]) . “
Type of Change:	” . strip_tags($_POST[‘typeOfChange’]) . “
Departure Date:	” . strip_tags($_POST[‘req-dep’]) . “
URL To Change (additional):	” . strip_tags($addURLS) . “
Comment:	” . htmlentities($_POST[‘newText’]) . “

“;
$message .= ““;

// MAKE SURE THE “FROM” EMAIL ADDRESS DOESN’T HAVE ANY NASTY STUFF IN IT
/* From address not being used anywhere so no reason to check it

$pattern = “/^[_a-z0-9-]+(.[_a-z0-9-]+)*@[a-z0-9-]+(.[a-z0-9-]+)*(.[a-z]{2,3})$/i”;
if (preg_match($pattern, trim(strip_tags($_POST[‘req-email’])))) {
$cleanedFrom = trim(strip_tags($_POST[‘req-email’]));
} else {
return “The email address you entered was invalid. Please try again!”;
}
*/

// CHANGE THE BELOW VARIABLES TO YOUR NEEDS

//$to = ”;
$to = ”;

$subject = ‘Group Travel Quote Form’;

$headers = “From: rn”;
//$headers .= “Reply-To: “. strip_tags($_POST[‘req-email’]) . “rn”;
$headers .= “MIME-Version: 1.0rn”;
$headers .= “Content-Type: text/html; charset=ISO-8859-1rn”;

if (mail($to, $subject, $message, $headers)) {
echo ‘Your message has been sent.’;
} else {
echo ‘There was a problem sending the email.’;
}

// DON’T BOTHER CONTINUING TO THE HTML…
unset($_SESSION[$form.’_token’]);
//die();

} else {

if (!isset($_SESSION[$form.’_token’])) {

} else {
echo “Hack-Attempt detected. Got ya!.”;
writeLog(‘Formtoken’);
}

}
} else {
//echo “Not yet submitted”;
}

?>

Travel Insurance Quote Request

1-877-485-2085

 

Applicants Name*:

Date of Birth*:

Address*:

Address*:

Phone Number*:

Email Address*:

Departure Date*:

Return Date*:

Destination*:

 

Declaration – You declare that the information you will provide in this questionnaire is truthful, complete and accurate.
If you misrepresent your medical status in this questionnaire or don’t disclose material information about your medical status,your coverage will be null and void.

[b]

I declare that I will answer the questionnaire truthfully, completely and accurately.

Yes
No

Are you under 61 years of age and travelling for less than 35 days?

Yes
No

Are you well and have no reason to expect medical treatment while travelling?

Yes
No

Has your physician advised or recommended that you not travel on the trip applicable to this application?

Yes
No

 

Do you suffer from or have you been diagnosed with:

a) has been diagnosed with a terminal illness

Yes
No

b) has Acquired Immune Deficiency Syndrome (AIDS) or Human Immunodeficiency Virus (HIV)

Yes
No

c) has Alzheimer’s Disease or any other type of dementia

Yes
No

d) has received any type of treatment for pancreatic cancer,liver cancer,or any type of
cancer that has metastasized

Yes
No

e) has been prescribed home oxygen therapy treatment in the last 12 months

Yes
No

f) has had a major organ transplant (heart, kidney, liver,lung)

Yes
No

g) has received kidney dialysis treatment in the last 12 months

Yes
No

 

In answer to the following questions, do not include:

• Bacterial infections they have fully recovered from

• Viral infections (unless currently controlled with prescription medication)

• Aspirin, thyroid medication or hormone replacement therapy (HRT)

• Normal medical checkups

 

 

Have you ever had, been diagnosed with or needed a medical consultation,
investigation or prescription medication for any of the following:

Yes
No

 

• coronary artery by-pass

• valve replacement

• an aneurysm that hasn’t been repaired yet

• transient ischemic attack (TIA), a stroke or a cerebrovascular condition

• a blood disorder

 

Are you taking five or more prescription medications?

Yes
No

 

• Acid reflux

• Gout

• Heartburn

• Hormone replacement

• Irritable bowel syndrome

• Osteoarthritis

• Sleep disorders

• Thyroid problems

 

Has a physician recommended tests, investigations or surgery you haven’t had yet?

Yes
No

 

In the last 5 years, have you had, been diagnosed with, or needed a medical
consultation, investigation, or prescription medication for:

Chest pain or angina, congestive heart failure or a heart attack?

Yes
No

Another heart or cardiovascular condition?

Yes
No

Cancer? (Do not include basal cell carcinoma or Squamous cell carcinoma)

Yes
No

Diabetes?

Yes
No

A lung or a respiratory condition, including use of a puffer?

Yes
No

An artery or vein disorder?

Yes
No

 

A stomach or bowel disorder?

Yes
No

 

• Acid reflux

• Heartburn

• Gastroesopageal reflux disease (GERD)

• Irritable bowel syndrome

A liver or pancreatic disorder or an disorder of the spleen?

Yes
No

A Urinary, kidney or prostate disorder?

Yes
No

High blood pressure?

Yes
No

Do you have osteoporosis or osteopenia?

Yes
No

Do you suffer from Parkinson’s disease, seizures or epilepsy?

Yes
No

[/b]

Please contact us directly [email protected]”or 1-877-485-2850 to discuss your
Travel Insurance needs. We will respond within one business day.

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