helix-engage-server/widget-src/src/contact.tsx

import { useState } from 'preact/hooks';
import { submitLead } from './api';
import { IconSpan } from './icon-span';
import { useWidgetStore } from './store';

export const Contact = () => {
    const { visitor, updateVisitor, captchaToken } = useWidgetStore();

    const [interest, setInterest] = useState('');
    const [message, setMessage] = useState('');
    const [loading, setLoading] = useState(false);
    const [success, setSuccess] = useState(false);
    const [error, setError] = useState('');

    const handleSubmit = async () => {
        if (!visitor.name.trim() || !visitor.phone.trim()) return;
        setLoading(true);
        setError('');
        try {
            await submitLead({
                name: visitor.name.trim(),
                phone: visitor.phone.trim(),
                interest: interest.trim() || undefined,
                message: message.trim() || undefined,
                captchaToken,
            });
            setSuccess(true);
        } catch {
            setError('Submission failed. Please try again.');
        } finally {
            setLoading(false);
        }
    };

    if (success) {
        return (
            <div class="widget-success">
                <div class="widget-success-icon">
                    <IconSpan name="hands-praying" size={56} color="#059669" />
                </div>
                <div class="widget-success-title">Thank you!</div>
                <div class="widget-success-text">
                    An agent will call you shortly on {visitor.phone}.<br />
                    We typically respond within 30 minutes during business hours.
                </div>
            </div>
        );
    }

    return (
        <div>
            <div class="widget-section-title">Get in touch</div>
            <div class="widget-section-sub">Leave your details and we'll call you back.</div>

            {error && <div class="widget-error">{error}</div>}

            <div class="widget-field">
                <label class="widget-label">Full Name *</label>
                <input
                    class="widget-input"
                    placeholder="Your name"
                    value={visitor.name}
                    onInput={(e: any) => updateVisitor({ name: e.target.value })}
                />
            </div>
            <div class="widget-field">
                <label class="widget-label">Phone Number *</label>
                <input
                    class="widget-input"
                    placeholder="+91 9876543210"
                    value={visitor.phone}
                    onInput={(e: any) => updateVisitor({ phone: e.target.value })}
                />
            </div>
            <div class="widget-field">
                <label class="widget-label">Interested In</label>
                <select class="widget-select" value={interest} onChange={(e: any) => setInterest(e.target.value)}>
                    <option value="">Select (optional)</option>
                    <option value="Consultation">General Consultation</option>
                    <option value="Health Checkup">Health Checkup</option>
                    <option value="Surgery">Surgery</option>
                    <option value="Second Opinion">Second Opinion</option>
                    <option value="Other">Other</option>
                </select>
            </div>
            <div class="widget-field">
                <label class="widget-label">Message</label>
                <textarea
                    class="widget-input widget-textarea"
                    placeholder="How can we help? (optional)"
                    value={message}
                    onInput={(e: any) => setMessage(e.target.value)}
                />
            </div>
            <button
                class="widget-btn"
                disabled={!visitor.name.trim() || !visitor.phone.trim() || loading}
                onClick={handleSubmit}
            >
                {loading ? 'Sending...' : 'Send Message'}
            </button>
        </div>
    );
};