@php
    $select_enable_create   = 0;
    $isPublic               = 0;
    $controller             = get_class(\Request::route()->getController());
@endphp
<section class="content-header Desligamentos_add">
    <div id="myModal-success-errors" style="display:none;"></div>
    <h1>Desligamentos</h1>
</section>
<section class="content Desligamentos_add Desligamentos_add_modal">
    <div class="box">
        {!! Form::open(['url' => "desligamentos", 'method' => 'post', 'novalidate'=> true, 'enctype' => 'multipart/form-data', 'accept-charset' => 'utf-8', 'id' => 'form_add_desligamentos', 'class'=>'form-modal-create form_add']) !!}
        {!! Form::hidden('modal-create-edit', 1) !!}
            <div class="box-body" id="div_desligamentos">
                            <div size="12" class="inputbox col-md-12" style="">
                <div class="form-group">
                    {!! Form::label('','Empresa') !!}
{!! Form::select('empresa', $cadastro_de_empresa_logo_da_empr, null, ['class' => 'form-control input_empresa  select_relationship ', 'data-sub' => '', 'data-live-search' => 'true',  'data-none-selected-text' => true, 'controller' => 'cadastro_de_empresa' , "id" => "input_empresa"]) !!}
                </div>
            </div>

<div size="12" class="inputbox col-md-12">
    <h2 class="page-header" style="font-size:20px;">
        <i class="glyphicon glyphicon-th-large"></i> Funcionário
    </h2>
</div>

            <div size="4" class="inputbox col-md-4" style="">
                <div class="form-group">
                    {!! Form::label('','Nome Completo') !!}
{!! Form::select('nome_completo', $cadastro_de_funcionarios_nome_co, null, ['class' => 'form-control input_nome_completo  select_relationship  auto_fill_fields ', 'data-sub' => '', 'data-live-search' => 'true',  'data-none-selected-text' => true, 'controller' => 'cadastro_de_funcionarios' , "id" => "input_nome_completo"]) !!}
                </div>
            </div>

            <div size="4" class="inputbox col-md-4" style="">
                <div class="form-group">
                    {!! Form::label('','Cargo') !!}
{!! Form::select('cargo', $cargos_cargos, null, ['class' => 'form-control input_cargo  select_relationship ', 'data-sub' => '', 'data-live-search' => 'true',  'data-none-selected-text' => true, 'controller' => 'cargos' , "id" => "input_cargo",'disabled' => 'disabled',]) !!}
                </div>
            </div>

            <div size="4" class="inputbox col-md-4" style="">
                <div class="form-group">
                    {!! Form::label('','Setor') !!}
{!! Form::select('setor', $setor_setor, null, ['class' => 'form-control input_setor  select_relationship ', 'data-sub' => '', 'data-live-search' => 'true',  'data-none-selected-text' => true, 'controller' => 'setor' , "id" => "input_setor",'disabled' => 'disabled',]) !!}
                </div>
            </div>

            <div size="2" class="inputbox col-md-2" style="">
                <div class="form-group">
                    {!! Form::label('','Data de Admissão') !!}
                    {!! Form::text('data_admissao', null, ['autocomplete' =>'off', 'class' => 'form-control componenteData' , "id" => "input_data_admissao"]) !!}
                </div>
            </div>

            <div size="2" class="inputbox col-md-2" style="">
                <div class="form-group">
                    {!! Form::label('','Data de Demissão') !!}
                    {!! Form::text('data_demissao', null, ['autocomplete' =>'off', 'class' => 'form-control componenteData' , "id" => "input_data_demissao"]) !!}
                </div>
            </div>

<div size="12" class="inputbox col-md-12">
    <h2 class="page-header" style="font-size:20px;">
        <i class="glyphicon glyphicon-th-large"></i> Tipo do Desligamento
    </h2>
</div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Término do período de Experiência') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('tdpde', 1, null, ['class' => '' , "id" => "input_tdpde"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Pedido de Demissão') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('pdd', 1, null, ['class' => '' , "id" => "input_pdd"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Dispensa Sem Justa Causa') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('dsjc', 1, null, ['class' => '' , "id" => "input_dsjc"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Dispensa Por Justa Causa') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('dpjc', 1, null, ['class' => '' , "id" => "input_dpjc"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Término de Contrato de Prazo Determinado') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('tdcdpd', 1, null, ['class' => '' , "id" => "input_tdcdpd"]) !!}</div>
                </div>
            </div>

            <div size="9" class="inputbox col-md-9" style="">
                <div class="form-group">
                    {!! Form::label('','Outros') !!}
                    {!! Form::text('outros', null, ['class' => 'form-control' , "id" => "input_outros"]) !!}
                </div>
            </div>

<div size="12" class="inputbox col-md-12">
    <h2 class="page-header" style="font-size:20px;">
        <i class="glyphicon glyphicon-th-large"></i> 1. Motivos que o fizeram pedir demissão?
    </h2>
</div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Melhor Oportunidade') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp11', 1, null, ['class' => '' , "id" => "input_rp11"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Melhor Salário') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp12', 1, null, ['class' => '' , "id" => "input_rp12"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Horário de Trabalho') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp13', 1, null, ['class' => '' , "id" => "input_rp13"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Ambiente de trabalho') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp14', 1, null, ['class' => '' , "id" => "input_rp14"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Falta de Oportunidade') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp15', 1, null, ['class' => '' , "id" => "input_rp15"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Melhores Benefícios') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp16', 1, null, ['class' => '' , "id" => "input_rp16"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Problemas com Superior') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp17', 1, null, ['class' => '' , "id" => "input_rp17"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Problemas com Colegas') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp18', 1, null, ['class' => '' , "id" => "input_rp18"]) !!}</div>
                </div>
            </div>

            <div size="12" class="inputbox col-md-12" style="">
                <div class="form-group">
                    {!! Form::label('','Outros') !!}
                    {!! Form::text('rp1outros', null, ['class' => 'form-control' , "id" => "input_rp1outros"]) !!}
                </div>
            </div>

<div size="12" class="inputbox col-md-12">
    <h2 class="page-header" style="font-size:20px;">
        <i class="glyphicon glyphicon-th-large"></i> 2. Você se sentia valorizado pela empresa?
    </h2>
</div>

            <div size="4" class="inputbox col-md-4" style="">
                <div class="form-group">
                    {!! Form::label('','Sempre') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp21', 1, null, ['class' => '' , "id" => "input_rp21"]) !!}</div>
                </div>
            </div>

            <div size="4" class="inputbox col-md-4" style="">
                <div class="form-group">
                    {!! Form::label('','Às vezes') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp22', 1, null, ['class' => '' , "id" => "input_rp22"]) !!}</div>
                </div>
            </div>

            <div size="4" class="inputbox col-md-4" style="">
                <div class="form-group">
                    {!! Form::label('','Nunca') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp33', 1, null, ['class' => '' , "id" => "input_rp33"]) !!}</div>
                </div>
            </div>

            <div size="12" class="inputbox col-md-12" style="">
                <div class="form-group">
                    {!! Form::label('','Outros') !!}
                    {!! Form::text('rp2outros', null, ['class' => 'form-control' , "id" => "input_rp2outros"]) !!}
                </div>
            </div>

<div size="12" class="inputbox col-md-12">
    <h2 class="page-header" style="font-size:20px;">
        <i class="glyphicon glyphicon-th-large"></i> 3. A empresa contribuiu com seu crescimento profissional?
    </h2>
</div>

            <div size="4" class="inputbox col-md-4" style="">
                <div class="form-group">
                    {!! Form::label('','Sim') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp31', 1, null, ['class' => '' , "id" => "input_rp31"]) !!}</div>
                </div>
            </div>

            <div size="4" class="inputbox col-md-4" style="">
                <div class="form-group">
                    {!! Form::label('','Às vezes') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp32', 1, null, ['class' => '' , "id" => "input_rp32"]) !!}</div>
                </div>
            </div>

            <div size="4" class="inputbox col-md-4" style="">
                <div class="form-group">
                    {!! Form::label('','Não') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp33', 1, null, ['class' => '' , "id" => "input_rp33"]) !!}</div>
                </div>
            </div>

            <div size="12" class="inputbox col-md-12" style="">
                <div class="form-group">
                    {!! Form::label('','Outros') !!}
                    {!! Form::text('rp3outros', null, ['class' => 'form-control' , "id" => "input_rp3outros"]) !!}
                </div>
            </div>

<div size="12" class="inputbox col-md-12">
    <h2 class="page-header" style="font-size:20px;">
        <i class="glyphicon glyphicon-th-large"></i> 4. Como era o relacionamento com o seu supervisor?
    </h2>
</div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Ótimo') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp41', 1, null, ['class' => '' , "id" => "input_rp41"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Bom') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp42', 1, null, ['class' => '' , "id" => "input_rp42"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Regular') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp43', 1, null, ['class' => '' , "id" => "input_rp43"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Ruim') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp44', 1, null, ['class' => '' , "id" => "input_rp44"]) !!}</div>
                </div>
            </div>

            <div size="12" class="inputbox col-md-12" style="">
                <div class="form-group">
                    {!! Form::label('','Outros') !!}
                    {!! Form::text('rp4outros', null, ['class' => 'form-control' , "id" => "input_rp4outros"]) !!}
                </div>
            </div>

<div size="12" class="inputbox col-md-12">
    <h2 class="page-header" style="font-size:20px;">
        <i class="glyphicon glyphicon-th-large"></i> 5. Sobre o espaço físico/ferramentas oferecidas?
    </h2>
</div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Ótimo') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp51', 1, null, ['class' => '' , "id" => "input_rp51"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Bom') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp52', 1, null, ['class' => '' , "id" => "input_rp52"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Regular') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp53', 1, null, ['class' => '' , "id" => "input_rp53"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Ruim') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp54', 1, null, ['class' => '' , "id" => "input_rp54"]) !!}</div>
                </div>
            </div>

            <div size="12" class="inputbox col-md-12" style="">
                <div class="form-group">
                    {!! Form::label('','Outros') !!}
                    {!! Form::text('rp5outros', null, ['class' => 'form-control' , "id" => "input_rp5outros"]) !!}
                </div>
            </div>

<div size="12" class="inputbox col-md-12">
    <h2 class="page-header" style="font-size:20px;">
        <i class="glyphicon glyphicon-th-large"></i> 6. Como era o seu relacionamento com colegas de trabalho?
    </h2>
</div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Ótimo') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp61', 1, null, ['class' => '' , "id" => "input_rp61"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Bom') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp62', 1, null, ['class' => '' , "id" => "input_rp62"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Regular') !!}
                    {!! Form::text('rp63', null, ['class' => 'form-control' , "id" => "input_rp63"]) !!}
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Ruim') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp64', 1, null, ['class' => '' , "id" => "input_rp64"]) !!}</div>
                </div>
            </div>

            <div size="12" class="inputbox col-md-12" style="">
                <div class="form-group">
                    {!! Form::label('','Outros') !!}
                    {!! Form::text('rp6outros', null, ['class' => 'form-control' , "id" => "input_rp6outros"]) !!}
                </div>
            </div>

<div size="12" class="inputbox col-md-12">
    <h2 class="page-header" style="font-size:20px;">
        <i class="glyphicon glyphicon-th-large"></i> 7. Expectativas de desenvolvimento profissional foram atendidas?
    </h2>
</div>

            <div size="4" class="inputbox col-md-4" style="">
                <div class="form-group">
                    {!! Form::label('','Sim') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('sim', 1, null, ['class' => '' , "id" => "input_sim"]) !!}</div>
                </div>
            </div>

            <div size="4" class="inputbox col-md-4" style="">
                <div class="form-group">
                    {!! Form::label('','Às vezes') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp72', 1, null, ['class' => '' , "id" => "input_rp72"]) !!}</div>
                </div>
            </div>

            <div size="4" class="inputbox col-md-4" style="">
                <div class="form-group">
                    {!! Form::label('','Não') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp73', 1, null, ['class' => '' , "id" => "input_rp73"]) !!}</div>
                </div>
            </div>

            <div size="12" class="inputbox col-md-12" style="">
                <div class="form-group">
                    {!! Form::label('','Outros') !!}
                    {!! Form::text('rp7outros', null, ['class' => 'form-control' , "id" => "input_rp7outros"]) !!}
                </div>
            </div>

<div size="12" class="inputbox col-md-12">
    <h2 class="page-header" style="font-size:20px;">
        <i class="glyphicon glyphicon-th-large"></i> 8. Qual sua opinião sobre o salário?
    </h2>
</div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Ótimo') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp81', 1, null, ['class' => '' , "id" => "input_rp81"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Bom') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp82', 1, null, ['class' => '' , "id" => "input_rp82"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Regular') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp83', 1, null, ['class' => '' , "id" => "input_rp83"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Ruim') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp84', 1, null, ['class' => '' , "id" => "input_rp84"]) !!}</div>
                </div>
            </div>

            <div size="12" class="inputbox col-md-12" style="">
                <div class="form-group">
                    {!! Form::label('','Outros') !!}
                    {!! Form::text('rp8outros', null, ['class' => 'form-control' , "id" => "input_rp8outros"]) !!}
                </div>
            </div>

<div size="12" class="inputbox col-md-12">
    <h2 class="page-header" style="font-size:20px;">
        <i class="glyphicon glyphicon-th-large"></i> 9. Qual sua opinião sobre os benefícios?
    </h2>
</div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Ótimo') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp91', 1, null, ['class' => '' , "id" => "input_rp91"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Bom') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp92', 1, null, ['class' => '' , "id" => "input_rp92"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Regular') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp93', 1, null, ['class' => '' , "id" => "input_rp93"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Ruim') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp94', 1, null, ['class' => '' , "id" => "input_rp94"]) !!}</div>
                </div>
            </div>

            <div size="12" class="inputbox col-md-12" style="">
                <div class="form-group">
                    {!! Form::label('','Outros') !!}
                    {!! Form::text('rp9outros', null, ['class' => 'form-control' , "id" => "input_rp9outros"]) !!}
                </div>
            </div>

<div size="12" class="inputbox col-md-12">
    <h2 class="page-header" style="font-size:20px;">
        <i class="glyphicon glyphicon-th-large"></i> 10. Como você vê os canais de comunicação interna da empresa?
    </h2>
</div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Ótimo') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp101', 1, null, ['class' => '' , "id" => "input_rp101"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Bom') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp102', 1, null, ['class' => '' , "id" => "input_rp102"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Regular') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp103', 1, null, ['class' => '' , "id" => "input_rp103"]) !!}</div>
                </div>
            </div>

            <div size="3" class="inputbox col-md-3" style="">
                <div class="form-group">
                    {!! Form::label('','Ruim') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp104', 1, null, ['class' => '' , "id" => "input_rp104"]) !!}</div>
                </div>
            </div>

            <div size="12" class="inputbox col-md-12" style="">
                <div class="form-group">
                    {!! Form::label('','Outros') !!}
                    {!! Form::text('rp10outros', null, ['class' => 'form-control' , "id" => "input_rp10outros"]) !!}
                </div>
            </div>

<div size="12" class="inputbox col-md-12">
    <h2 class="page-header" style="font-size:20px;">
        <i class="glyphicon glyphicon-th-large"></i> 11. Que imagem da empresa você lavará ao se desligar?
    </h2>
</div>

            <div size="12" class="inputbox col-md-12" style="">
                <div class="form-group">
                    {!! Form::label('','Resposta') !!}
                    {!! Form::text('rp111', null, ['class' => 'form-control' , "id" => "input_rp111"]) !!}
                </div>
            </div>

<div size="12" class="inputbox col-md-12">
    <h2 class="page-header" style="font-size:20px;">
        <i class="glyphicon glyphicon-th-large"></i> 12. Que nota você da ao seu setor? Por quê?
    </h2>
</div>

            <div size="2" class="inputbox col-md-2" style="">
                <div class="form-group">
                    {!! Form::label('','Nota') !!}
                    {!! Form::number('rp121', null, ['class' => 'form-control' , "id" => "input_rp121"]) !!}
                </div>
            </div>

            <div size="10" class="inputbox col-md-10" style="">
                <div class="form-group">
                    {!! Form::label('','Motivo') !!}
                    {!! Form::text('rp122', null, ['class' => 'form-control' , "id" => "input_rp122"]) !!}
                </div>
            </div>

<div size="12" class="inputbox col-md-12">
    <h2 class="page-header" style="font-size:20px;">
        <i class="glyphicon glyphicon-th-large"></i> 13. Você voltaria a trabalhar na empresa?
    </h2>
</div>

            <div size="4" class="inputbox col-md-4" style="">
                <div class="form-group">
                    {!! Form::label('','Sim') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp131', 1, null, ['class' => '' , "id" => "input_rp131"]) !!}</div>
                </div>
            </div>

            <div size="4" class="inputbox col-md-4" style="">
                <div class="form-group">
                    {!! Form::label('','Talvez') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp132', 1, null, ['class' => '' , "id" => "input_rp132"]) !!}</div>
                </div>
            </div>

            <div size="4" class="inputbox col-md-4" style="">
                <div class="form-group">
                    {!! Form::label('','Não') !!}
                    <div class='r-field r-field-type-checkbox'>{!! Form::checkbox('rp133', 1, null, ['class' => '' , "id" => "input_rp133"]) !!}</div>
                </div>
            </div>

            <div size="12" class="inputbox col-md-12" style="">
                <div class="form-group">
                    {!! Form::label('','Outros') !!}
                    {!! Form::text('rp13outros', null, ['class' => 'form-control' , "id" => "input_rp13outros"]) !!}
                </div>
            </div>

<div size="12" class="inputbox col-md-12">
    <h2 class="page-header" style="font-size:20px;">
        <i class="glyphicon glyphicon-th-large"></i> 14. Que nota você daria a empresa como um todo?
    </h2>
</div>

            <div size="2" class="inputbox col-md-2" style="">
                <div class="form-group">
                    {!! Form::label('','Nota') !!}
                    {!! Form::number('rp141', null, ['class' => 'form-control' , "id" => "input_rp141","placeholder" => html_entity_decode("De 1 a 10!"),]) !!}
                </div>
            </div>

<div size="12" class="inputbox col-md-12">
    <h2 class="page-header" style="font-size:20px;">
        <i class="glyphicon glyphicon-th-large"></i> 15. Existe algo que queira acrescentar na entrevista?
    </h2>
</div>

            <div size="12" class="inputbox col-md-12" style="">
                <div class="form-group">
                    {!! Form::label('','Resposta') !!}
                    {!! Form::text('rp151', null, ['class' => 'form-control' , "id" => "input_rp151"]) !!}
                </div>
            </div>

<div size="12" class="inputbox col-md-12">
    <h2 class="page-header" style="font-size:20px;">
        <i class="glyphicon glyphicon-th-large"></i> Encerramento
    </h2>
</div>

            <div size="12" class="inputbox col-md-12" style="">
                <div class="form-group">
                    {!! Form::label('','Data') !!}
                    {!! Form::text('data', null, ['class' => 'form-control' , "id" => "input_data","placeholder" => html_entity_decode("Cuiabá, ____________ de ____________ de 20__"),]) !!}
                </div>
            </div>

            <div size="6" class="inputbox col-md-6" style="">
                <div class="form-group">
                    {!! Form::label('','Assinatura Ex-Colaborador') !!}
                    {!! Form::text('ass_excolaborador', null, ['class' => 'form-control' , "id" => "input_ass_excolaborador"]) !!}
                </div>
            </div>

            <div size="6" class="inputbox col-md-6" style="">
                <div class="form-group">
                    {!! Form::label('','Assinatura Recursos humanos') !!}
                    {!! Form::text('ass_recursoshumanos', null, ['class' => 'form-control' , "id" => "input_ass_recursoshumanos"]) !!}
                </div>
            </div>

            <div size="12" class="inputbox col-md-12" style="">
                <div class="form-group">
                    {!! Form::label('','Templates') !!}
{!! Form::select('templates', $templates_nome_do_template, null, ['class' => 'form-control input_templates  select_relationship ', 'data-sub' => '', 'data-live-search' => 'true',  'data-none-selected-text' => true, 'controller' => 'templates' , "id" => "input_templates"]) !!}
                </div>
            </div>

                @if(0)
                    @if(App\Models\Permissions::permissaoModerador(\Auth::user()))
                        <div class="col-md-12">
                            <div class="form-group">
                                <label for="">Para quem essa informação ficará disponível? Selecione um usuário. </label>
                                @php
                                    $parserList = array();
                                    $userlist = App\Models\User::get()->toArray();
                                    array_unshift($userlist, array('id' => '',  'name' => ''));
                                    array_unshift($userlist, array('id' => 0,  'name' => 'Disponível para todos'));
                                    foreach($userlist as $u)
                                    {
                                        $parserList[$u['id']] = $u['name'];
                                    }
                                @endphp
                                {!! Form::select('r_auth', $parserList, null, ['class' => 'form-control']) !!}
                            </div>
                        </div>
                    @endif
                @endif
                <div class="col-md-12" style="margin-top: 20px;">
                    <div class="form-group form-group-btn-add">
                        @if(!$isPublic)
                            <a href="javascript:$('#myModal_CE').modal('hide');" class="btn btn-xs btn-default form-group-btn-add-cancelar"><i class="glyphicon glyphicon-remove-circle"></i> Cancelar</a>
                        @endif
                        @if(App\Models\Permissions::permissaoUsuario(\Auth::user(), "$controller@store") OR $isPublic)
                            <button type="submit" class="btn btn-xs btn-success right form-group-btn-add-cadastrar">
                                <span class="glyphicon glyphicon-plus"></span> Cadastrar
                            </button>
                        @endif
                    </div>
                </div>
            </div>
        {!! Form::close() !!}
    </div>
</section>
<script type="text/javascript">

</script>