Passing Form Variables - Multi-Page Form

[ryanhart]

I have a 4-step form (ex. quote.php, quote2.php, quote3.php, quote4.php).

I use PHP to pass the variables from quote.php => quote2.php => quote3.php, etc...

 

All the variables are passed successfully except TWO...

- insured_1_health_conditions

- insured_1_health_conditions_detail

 

These 2 form variables are located on quote2.php, then passed to quote3.php.

 

Live example... http://www.livehealthinsurance.com/quote.php

 

Below is the code, that is relevant in solving this problem.

 

JavaScript in Head Content - quote2.php

 

<script type="text/javascript">
<!--
function setConditions() {
document.getElementById("insured_1_health_conditions_detail").value=(((document.getElementById("aids").checked)?"HIV/AIDS / ":"")+""+((document.getElementById("diabetes").checked)?"Diabetes / ":"")+""+((document.getElementById("cancer").checked)?"Cancer / ":"")+""+((document.getElementById("heart-attack").checked)?"Heart Attack / ":"")+""+((document.getElementById("high-blood-pressure").checked)?"High Blood Pressure / ":"")+""+((document.getElementById("pregnant").checked)?"Pregnant / ":"")+""+((document.getElementById("stroke").checked)?"Stroke / ":"")+""+((document.getElementById("depression").checked)?"Depression / ":"")+""+((document.getElementById("other-illness").checked)?"Other major illness not listed. / ":""));
}

function unSetConditions() {
document.getElementById("aids").checked=false;document.getElementById("diabetes").checked=false;document.getElementById("cancer").checked=false;document.getElementById("heart-attack").checked=false;document.getElementById("high-blood-pressure").checked=false;document.getElementById("pregnant").checked=false;document.getElementById("stroke").checked=false;document.getElementById("depression").checked=false;document.getElementById("other-illness").checked=false;
document.getElementById("insured_1_health_conditions_detail").value="";
}
-->
</script>

 

Form - quote2.php

 

<form action="quote3.php" method="post" name="healthquote" id="healthquote">
            
<!--VARIABLES PASSED FROM - HOME PAGE-->
<input type="hidden" name="address_1_state" id="address_1_state" value="<?=$_POST['address_1_state']; ?>" />

<!--VARIABLES PASSED FROM - QUOTE.PHP-->
<input type="hidden" name="insured_1_gender" value="<?=$_POST['insured_1_gender']; ?>">
<input type="hidden" name="insured_1_dobMM" value="<?=$_POST['insured_1_dobMM']; ?>">
<input type="hidden" name="insured_1_dobDD" value="<?=$_POST['insured_1_dobDD']; ?>">
<input type="hidden" name="insured_1_dobYYYY" value="<?=$_POST['insured_1_dobYYYY']; ?>">
<input type="hidden" name="insured_1_heightFT" value="<?=$_POST['insured_1_heightFT']; ?>">
<input type="hidden" name="insured_1_heightIN" value="<?=$_POST['insured_1_heightIN']; ?>">
<input type="hidden" name="insured_1_weight" value="<?=$_POST['insured_1_weight']; ?>">
              
              
              

<div id="inner-form">
  <table cellpadding="10" cellspacing="0" border="0" class="maintable">
    <tbody>
      <tr>
        <td width="167" style="border-bottom: 1px solid #EFDCB4;">Currently Insured?</td>
        <td width="77" style="border-bottom: 1px solid #EFDCB4;"><input type="radio" name="insured_1_currently_covered" id="insured_1_currently_covered" value="yes" />
          Yes </td>
        <td width="362" style="border-bottom: 1px solid #EFDCB4;"><input type="radio" name="insured_1_currently_covered" id="insured_1_currently_covered" value="no" checked />
          No </td>
      </tr>
      <tr>
        <td style="border-bottom: 1px solid #EFDCB4;">Smoker?</td>
        <td style="border-bottom: 1px solid #EFDCB4;"><input type="radio" name="insured_1_smoker" id="insured_1_smoker" value="yes" />
          Yes </td>
        <td style="border-bottom: 1px solid #EFDCB4;"><input type="radio" name="insured_1_smoker" id="insured_1_smoker" value="no" checked />
          No </td>
      </tr>
      <tr>
        <td>Medical Conditions?</td>
        <td><input type="radio" name="insured_1_health_conditions" id="insured_1_health_conditions_yes" value="yes" onClick="if(this.checked){document.getElementById('conditions').style.display='';}" />
          Yes </td>
        <td><input type="radio" name="insured_1_health_conditions" id="insured_1_health_conditions_no" value="no" onClick="if(this.checked){document.getElementById('conditions').style.display='none';}unSetConditions();" checked />
          No </td>
      </tr>
    </tbody>
  </table>
  <table cellpadding="4" cellspacing="0" border="0" id="conditions" style="border-top: 1px solid #EFDCB4; display: none; margin-bottom: 10px; margin-right: 10px; margin-left: 10px; width: 565px;">
    <tbody>
      <tr>
        <td width="139" style="padding-top: 10px;"><input type="checkbox" id="aids" onClick="setConditions();" />
          HIV/Aids</td>
        <td width="243" style="padding-top: 10px;"><input type="checkbox" id="diabetes" onClick="setConditions();" />
          Diabetes</td>
        <td width="272" style="padding-top: 10px;"><input type="checkbox" id="cancer" onClick="setConditions();" />
          Cancer</td>
      </tr>
      <tr>
        <td><input type="checkbox" id="heart-attack" onClick="setConditions();" />
          Heart Attack</td>
        <td><input type="checkbox" id="high-blood-pressure" onClick="setConditions();" />
          High Blood Pressure</td>
        <td><input type="checkbox" id="pregnant" onClick="setConditions();" /> Pregnant</td>
      </tr>
      <tr>
        <td><input type="checkbox" id="stroke" onClick="setConditions();" />
          Stroke</td>
        <td><input type="checkbox" id="depression" onClick="setConditions();" />
          Depression (requiring medication)</td>
        <td><input type="checkbox" id="other-illness" onClick="setConditions();" />
          Other Major Illness</td>
      </tr>
    </tbody>
  </table>
</div>
  
<div id="buttonCont">              
  <div id="buttons">
      <input type="image" src="_img/continue-button-green.jpg" style="padding:0; padding-right: 20px; padding-top:0px;" onClick="return validateHealth2(this.form);" />
  </div>
</div>
</form>

 

Hidden form fields for quote3.php

 

<!--VARIABLES PASSED FROM - HOME PAGE-->
<input type="hidden" name="address_1_state" id="address_1_state" value="<?=$_POST['address_1_state']; ?>" />
            
<!--VARIABLES PASSED FROM - QUOTE1.PHP-->
<input type="hidden" name="insured_1_gender" value="<?=$_POST['insured_1_gender']; ?>">
<input type="hidden" name="insured_1_dobMM" value="<?=$_POST['insured_1_dobMM']; ?>">
<input type="hidden" name="insured_1_dobDD" value="<?=$_POST['insured_1_dobDD']; ?>">
<input type="hidden" name="insured_1_dobYYYY" value="<?=$_POST['insured_1_dobYYYY']; ?>">
<input type="hidden" name="insured_1_heightFT" value="<?=$_POST['insured_1_heightFT']; ?>">
<input type="hidden" name="insured_1_heightIN" value="<?=$_POST['insured_1_heightIN']; ?>">
<input type="hidden" name="insured_1_weight" value="<?=$_POST['insured_1_weight']; ?>">
              
<!--VARIABLES PASSED FROM - QUOTE2.PHP-->
<input type="hidden" name="insured_1_smoker" value="<?=$_POST['insured_1_smoker']; ?>">
<input type="hidden" name="insured_1_currently_covered" value="<?=$_POST['insured_1_currently_covered']; ?>">
<input type="hidden" name="insured_1_health_conditions" value="<?=$_POST['insured_1_conditions']; ?>">
<input type="hidden" name="insured_1_health_conditions_detail" value="<?=$_POST['insured_1_health_conditions_detail']; ?>">

 

I'm stumped, please help... Thanks in advance.