<form id="operations-search-form-{{ module.id }}" class="search_form" action="" method="get">
    <div class="container">
        <div class="row">
            <div class="col-md-3">
                <div class="form-group">
                    <input class="form-control with-border" id="zipcode-{{ module.id }}" name="zipCode" placeholder="{{ 'form.module.map_pee.search.zipcode.label'|trans({}, 'form') }}" type="text"{% if search_zipcode is defined %} value="{{ search_zipcode }}"{% endif %}>
                    <input type="hidden" id="latitude-{{ module.id }}" name="search_latitude" {% if search_latitude is defined %} value="{{ search_latitude }}"{% endif %} />
                    <input type="hidden" id="longitude-{{ module.id }}" name="search_longitude" {% if search_longitude is defined %} value="{{ search_longitude }}"{% endif %} />
                </div>        
            </div>
            <div class="col-md-3">
                <div class="form-group">
                    <div class="select-wrapper">
                        <select class="form-control with-border" id="category-{{ module.id }}" name="category">
                            <option value="">{{ 'form.module.map_pee.search.category.label'|trans({}, 'form') }}</option>
                            {% for cat in categories %}
                                <option value="{{ cat.id }}"{% if search_category is defined and search_category == cat.id %} selected="selected"{% endif %}>
                                    {{ cat.name }}
                                </option>
                            {% endfor %}
                        </select>
                    </div>        
                </div>        
            </div>
            <div class="col-md-3">
                <div class="form-group">
                    <input class="form-control with-border date" id="datevisite-{{ module.id }}" name="dateVisite" placeholder="{{ 'form.module.map_pee.search.datevisite.label'|trans({}, 'form') }}" type="text"{% if search_datevisite is defined %} value="{{ search_datevisite }}"{% endif %} {# data-datepicker-date-format="yy-mm-dd"#}  data-datepicker-date-min="+1d" data-datepicker-date-max="+1y" >
                </div>        
            </div>
            <div class="col-md-3">
                <div class="form-group">
                    <button type="button" class="btn btn-theme btn-block submit-search">{{ 'form.module.map_pee.search.submit.label'|trans({}, 'form') }}</button>
                </div>        
            </div>
        </div> 
    </div> 
</form>