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<!DOCTYPE html>
<html lang="en" dir="rtl">
<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>Data Collection Form</title>
    <script src="https://cdn.tailwindcss.com"></script>
    <script src="https://unpkg.com/feather-icons"></script>
    <script src="https://cdn.jsdelivr.net/npm/feather-icons/dist/feather.min.js"></script>
    <style>
        @import url('https://fonts.googleapis.com/css2?family=Tajawal:wght@400;500;700&display=swap');
        body {
            font-family: 'Tajawal', sans-serif;
        }
        .form-input {
            transition: all 0.3s ease;
        }
        .form-input:focus {
            box-shadow: 0 0 0 3px rgba(99, 102, 241, 0.3);
        }
    </style>
</head>
<body class="bg-gray-50 min-h-screen">
    <div class="max-w-md mx-auto p-6">
        <div class="bg-white rounded-xl shadow-lg overflow-hidden mb-8 transition-all duration-300 hover:shadow-xl">
            <div class="bg-gradient-to-r from-indigo-500 to-purple-600 p-6 text-white">
                <div class="flex items-center justify-between">
                    <div>
                        <h1 class="text-2xl font-bold">نموذج جمع البيانات</h1>
                        <p class="opacity-90">أدخل معلوماتك وسيتم إرسالها إلى البريد الإلكتروني</p>
                    </div>
                    <i data-feather="mail" class="w-10 h-10"></i>
                </div>
            </div>

            <form id="dataForm" class="p-6 space-y-4">
                <div>
                    <label for="name" class="block text-sm font-medium text-gray-700 mb-1">الاسم الكامل</label>
                    <input type="text" id="name" name="name" required 
                           class="form-input w-full px-4 py-2 border border-gray-300 rounded-lg focus:border-indigo-500 focus:ring-1 focus:ring-indigo-500 text-right">
                </div>

                <div>
                    <label for="email" class="block text-sm font-medium text-gray-700 mb-1">البريد الإلكتروني</label>
                    <input type="email" id="email" name="email" required
                           class="form-input w-full px-4 py-2 border border-gray-300 rounded-lg focus:border-indigo-500 focus:ring-1 focus:ring-indigo-500 text-right">
                </div>

                <div>
                    <label for="phone" class="block text-sm font-medium text-gray-700 mb-1">رقم الهاتف</label>
                    <input type="tel" id="phone" name="phone"
                           class="form-input w-full px-4 py-2 border border-gray-300 rounded-lg focus:border-indigo-500 focus:ring-1 focus:ring-indigo-500 text-right">
                </div>

                <div>
                    <label for="message" class="block text-sm font-medium text-gray-700 mb-1">الرسالة</label>
                    <textarea id="message" name="message" rows="4"
                              class="form-input w-full px-4 py-2 border border-gray-300 rounded-lg focus:border-indigo-500 focus:ring-1 focus:ring-indigo-500 text-right"></textarea>
                </div>

                <div class="flex items-center justify-between pt-2">
                    <button type="submit" class="bg-indigo-600 hover:bg-indigo-700 text-white px-6 py-2 rounded-lg font-medium transition-colors duration-300 flex items-center">
                        <span>إرسال</span>
                        <i data-feather="send" class="mr-2 w-4 h-4"></i>
                    </button>
                </div>
            </form>
        </div>

        <div id="successMessage" class="hidden bg-green-100 border border-green-400 text-green-700 px-4 py-3 rounded-lg relative">
            <span class="absolute top-0 bottom-0 right-0 px-4 py-3">
                <i data-feather="check-circle" class="h-6 w-6 text-green-500"></i>
            </span>
            <div class="pr-8">
                <strong class="font-bold">تم الإرسال بنجاح!</strong>
                <span class="block sm:inline">سيتم إرسال البيانات إلى mohammedzzkri@gmail.com</span>
            </div>
        </div>
    </div>

    <script>
        feather.replace();
        
        document.getElementById('dataForm').addEventListener('submit', function(e) {
            e.preventDefault();
            
            // Simulate form submission
            setTimeout(() => {
                document.getElementById('successMessage').classList.remove('hidden');
                document.getElementById('dataForm').reset();
                
                setTimeout(() => {
                    document.getElementById('successMessage').classList.add('hidden');
                }, 5000);
            }, 1000);
        });
    </script>
</body>
</html>