// JavaScript Document

function check(feedback)
{

if(document.feedback.quote.value=="")
	{
		alert("Please select quote option");
		document.feedback.quote.focus();
		return false;
	}
	

    if(document.feedback.first_name.value=="")
		{
			alert("Please insert proper First name");
			document.feedback.first_name.focus();
			return false;
		}
    if(document.feedback.first_name.value!="")
		{
			var firstinputstr=document.feedback.first_name.value.toString();
			for(i=0; i < firstinputstr.length; i++)
			{
				var ch=firstinputstr.charAt(i);
				if(ch < "A" || ch > "z") {
				alert("Characters only in First name");
				document.feedback.first_name.value="";
				document.feedback.first_name.focus();
				return false;
				}
			}
		}	
		
	
	if(document.feedback.middle_name.value=="")
		{
			alert("Please insert proper Middle name");
			document.feedback.middle_name.focus();
			return false;
		}
	if(document.feedback.middle_name.value!="")
		{
			var firstinputstr=document.feedback.middle_name.value.toString();
			for(i=0; i < firstinputstr.length; i++)
			{
				var ch=firstinputstr.charAt(i);
				if(ch < "A" || ch > "z") {
				alert("Characters only in Middle name");
				document.feedback.middle_name.value="";
				document.feedback.middle_name.focus();
				return false;
				}
			}
		}	
		
		
		if(document.feedback.last_name.value=="")
		{
			alert("Please insert proper Last name");
			document.feedback.last_name.focus();
			return false;
		}
	if(document.feedback.last_name.value!="")
		{
			var firstinputstr=document.feedback.last_name.value.toString();
			for(i=0; i < firstinputstr.length; i++)
			{
				var ch=firstinputstr.charAt(i);
				if(ch < "A" || ch > "z") {
				alert("Characters only in Last name");
				document.feedback.last_name.value="";
				document.feedback.last_name.focus();
				return false;
				}
			}
		}	
		
 if(document.feedback.age.value=="")
	{
		alert("Please select proper Age");
		document.feedback.age.focus();
		return false;
	}
	
  if(document.feedback.email.value=="")
		{
			alert("Please enter Email ID");
			document.feedback.email.focus();
			return false;
		}
		
		/* phone no start  */
		
	if(document.feedback.home_country_code.value=="")
	{
	alert("Please enter proper Home country code");
	document.feedback.home_country_code.focus();
	return false;
	}
	
	
	if(document.feedback.home_country_code.value!="")
	{
		var inputstr=document.feedback.home_country_code.value.toString();
		for(i=0; i < inputstr.length; i++)
		{
			var ch=inputstr.charAt(i);
			if(ch < "0" || ch > "9") {
			alert("numbers only in Home country code");
			document.feedback.home_country_code.value="";
			document.feedback.home_country_code.focus();
			return false;
			}
		}
	}	
	
	if(document.feedback.home_local_code.value=="")
	{
		alert("Please enter proper home local code");
		document.feedback.home_local_code.focus();
		return false;
	}
	
	if(document.feedback.home_local_code.value!="")
	{
		var inputstr=document.feedback.home_local_code.value.toString();
		for(i=0; i < inputstr.length; i++)
		{
			var ch=inputstr.charAt(i);
			if(ch < "0" || ch > "9") {
			alert("numbers only in home local code");
			document.feedback.home_local_code.value="";
			document.feedback.home_local_code.focus();
			return false;
			}
		}
	}	
	
	if(document.feedback.home_phone_number.value=="")
	{
		alert("Please enter proper home phone number");
		document.feedback.home_phone_number.focus();
		return false;
	}
	
	if(document.feedback.home_phone_number.value!="")
	{
		var inputstr=document.feedback.home_phone_number.value.toString();
		for(i=0; i < inputstr.length; i++)
		{
			var ch=inputstr.charAt(i);
			if(ch < "0" || ch > "9") {
			alert("numbers only in home phone number");
			document.feedback.home_phone_number.value="";
			document.feedback.home_phone_number.focus();
			return false;
			}
		}
	}	
	

if(document.feedback.business_country_code.value=="")
	{
	alert("Please enter proper business country code");
	document.feedback.business_country_code.focus();
	return false;
	}
	
	
	if(document.feedback.business_country_code.value!="")
	{
		var inputstr=document.feedback.business_country_code.value.toString();
		for(i=0; i < inputstr.length; i++)
		{
			var ch=inputstr.charAt(i);
			if(ch < "0" || ch > "9") {
			alert("numbers only in business country code");
			document.feedback.business_country_code.value="";
			document.feedback.business_country_code.focus();
			return false;
			}
		}
	}	
	
	if(document.feedback.business_local_code.value=="")
	{
		alert("Please enter proper business local code");
		document.feedback.business_local_code.focus();
		return false;
	}
	
	if(document.feedback.business_local_code.value!="")
	{
		var inputstr=document.feedback.business_local_code.value.toString();
		for(i=0; i < inputstr.length; i++)
		{
			var ch=inputstr.charAt(i);
			if(ch < "0" || ch > "9") {
			alert("numbers only in business local code");
			document.feedback.business_local_code.value="";
			document.feedback.business_local_code.focus();
			return false;
			}
		}
	}	
	
	if(document.feedback.business_telephone_number.value=="")
	{
		alert("Please enter proper business telephone number");
		document.feedback.business_telephone_number.focus();
		return false;
	}
	
	if(document.feedback.business_telephone_number.value!="")
	{
		var inputstr=document.feedback.business_telephone_number.value.toString();
		for(i=0; i < inputstr.length; i++)
		{
			var ch=inputstr.charAt(i);
			if(ch < "0" || ch > "9") {
			alert("numbers only in business telephone number");
			document.feedback.business_telephone_number.value="";
			document.feedback.business_telephone_number.focus();
			return false;
			}
		}
	}
		
	
if(document.feedback.mobile_country_code.value=="")
	{
	alert("Please enter proper mobile country code");
	document.feedback.mobile_country_code.focus();
	return false;
	}
	
	
	if(document.feedback.mobile_country_code.value!="")
	{
		var inputstr=document.feedback.mobile_country_code.value.toString();
		for(i=0; i < inputstr.length; i++)
		{
			var ch=inputstr.charAt(i);
			if(ch < "0" || ch > "9") {
			alert("numbers only in mobile country code");
			document.feedback.mobile_country_code.value="";
			document.feedback.mobile_country_code.focus();
			return false;
			}
		}
	}	
	
	if(document.feedback.mobile_local_code.value=="")
	{
		alert("Please enter proper mobile local code");
		document.feedback.mobile_local_code.focus();
		return false;
	}
	
	if(document.feedback.mobile_local_code.value!="")
	{
		var inputstr=document.feedback.mobile_local_code.value.toString();
		for(i=0; i < inputstr.length; i++)
		{
			var ch=inputstr.charAt(i);
			if(ch < "0" || ch > "9") {
			alert("numbers only in mobile local code");
			document.feedback.mobile_local_code.value="";
			document.feedback.mobile_local_code.focus();
			return false;
			}
		}
	}	
	
	if(document.feedback.mobile_telephone_number.value=="")
	{
		alert("Please enter proper mobile number");
		document.feedback.mobile_telephone_number.focus();
		return false;
	}
	
	if(document.feedback.mobile_telephone_number.value!="")
	{
		var inputstr=document.feedback.mobile_telephone_number.value.toString();
		for(i=0; i < inputstr.length; i++)
		{
			var ch=inputstr.charAt(i);
			if(ch < "0" || ch > "9") {
			alert("numbers only in mobile number");
			document.feedback.mobile_telephone_number.value="";
			document.feedback.mobile_telephone_number.focus();
			return false;
			}
		}
	}
		/* phone  no end */
		
 if(document.feedback.address.value=="")
	{
		alert("Please Enter your contact address");
		document.feedback.address.focus();
		return false;
	}		

if(document.feedback.country.value=="")
	{
		alert("Please select proper country");
		document.feedback.country.focus();
		return false;
	}		
	
if(document.feedback.procedure.value=="")
	{
		alert("Please select proper Treatment procedure");
		document.feedback.procedure.focus();
		return false;
	}	
	
if(document.feedback.history.value=="")
	{
		alert("Please Enter Brief History");
		document.feedback.history.focus();
		return false;
	}	
	

if(document.feedback.medical_status.value=="")
	{
		alert("Please Enter your medical status");
		document.feedback.medical_status.focus();
		return false;
	}	
	
if(document.feedback.preferences.value=="")
	{
		alert("Please select your proper Preference for treatment");
		document.feedback.preferences.focus();
		return false;
	}	
	
if(document.feedback.specific_hospital.value=="")
	{
		alert("Please select proper specific hospital");
		document.feedback.specific_hospital.focus();
		return false;
	}	
	
}


function EmailValidation(Element)
	{
		
		var stremail=Element.value;
		//alert(stremail);
      var emailchar=/^([\w-]+(?:\.[\w-]+)*)@((?:[\w-]+\.)*\w[\w-]{0,66})\.([a-z]{2,6}(?:\.[a-z]{2})?)$/;
	 // alert(emailchar.test(stremail));
      if(emailchar.test(stremail))
      	{
		  return true;
        }
	      else 
    	{
   			 alert("Please enter the valid email address");
    		 document.feedback.email.focus();
    		 return false;
   	    }	
  }