var captchaWidgetmpFrmfa2440fc6dd44b548b890b97de23a00d; var mpCurrentScriptmpFrmfa2440fc6dd44b548b890b97de23a00dContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmfa2440fc6dd44b548b890b97de23a00d"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41783"); if(document.currentScript && document.currentScript.parentNode && document.currentScript.parentNode.nodeName && document.currentScript.parentNode.nodeName.toLowerCase() === "head") { document.addEventListener("DOMContentLoaded", (event) => { var bodyHolder = document.getElementsByTagName("body"); if (bodyHolder && bodyHolder[0]) { bodyHolder[0].appendChild(containerDiv); } }) } else { document.currentScript.parentNode.insertBefore(containerDiv, document.currentScript); mpFormmpFrmfa2440fc6dd44b548b890b97de23a00dFind(); } })(); function mpFormmpFrmfa2440fc6dd44b548b890b97de23a00dFind() { if(!mpCurrentScriptmpFrmfa2440fc6dd44b548b890b97de23a00dContainer) return; if (mpCurrentScriptmpFrmfa2440fc6dd44b548b890b97de23a00dContainer && mpCurrentScriptmpFrmfa2440fc6dd44b548b890b97de23a00dContainer.nodeName && mpCurrentScriptmpFrmfa2440fc6dd44b548b890b97de23a00dContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmfa2440fc6dd44b548b890b97de23a00d" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmfa2440fc6dd44b548b890b97de23a00dContainer.children).forEach(c => { if (c.id === "mpFrmfa2440fc6dd44b548b890b97de23a00d") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptf3d4b8ad7a92475dbea692be911633c3Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmfa2440fc6dd44b548b890b97de23a00d"; } } } } function mpFormf3d4b8ad7a92475dbea692be911633c3Check() { let checkBoxes = document.getElementById("mpform-f3d4b8ad7a92475dbea692be911633c3").querySelectorAll('input[type="checkbox"]'); if(checkBoxes) { for(var i = 0; i < checkBoxes.length; i++) { let checkBox = checkBoxes[i]; var attr = checkBox.getAttribute('data-prevval'); if (typeof attr !== typeof undefined && attr !== false) { checkBox.value = checkBox.getAttribute("data-prevval"); checkBox.removeAttribute("data-prevval"); checkBox.removeAttribute("checked"); } } } } function mpFormf3d4b8ad7a92475dbea692be911633c3Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-f3d4b8ad7a92475dbea692be911633c3").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-f3d4b8ad7a92475dbea692be911633c3").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-f3d4b8ad7a92475dbea692be911633c3").querySelectorAll('input[type="checkbox"]'); if(checkBoxes) { for(var i = 0; i < checkBoxes.length; i++) { let checkBox = checkBoxes[i]; if( checkBox.checked == true ) { if(checkBox.getAttribute('data-prevval')) { checkBox.value = checkBox.getAttribute('data-prevval'); } else { checkBox.value = 1; } } else { checkBox.setAttribute('data-prevval',checkBox.value); checkBox.value = 0; } } } let form_data = Array.from( new FormData(document.getElementById('mpform-f3d4b8ad7a92475dbea692be911633c3')), function(e) { return { name: e[0], value: e[1] } } ) try { for(var i = 0; i < checkBoxes.length; i++) { let checkBox = checkBoxes[i]; let found = form_data.find(f=>f.name == checkBox.name) if(!found) { form_data.push({name: checkBox.name, value: checkBox.checked ? checkBox.value : "0"}) } } } catch(err){} try { form_data.push({ name: "mpTrkH", value: document.location.host }) form_data.push({ name: "mpTrkO", value: document.location.origin }) form_data.push({ name: "mpTrkP", value: document.location.pathname }) form_data.push({ name: "mpTrkQ", value: document.location.search }) form_data.push({ name: "mpTrkUUID", value: getTrackingIdf3d4b8ad7a92475dbea692be911633c3() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-f3d4b8ad7a92475dbea692be911633c3").querySelectorAll('input[type=TELNO]'); if(telInputs) { for(var i = 0; i < telInputs.length; i++) { let telInput = telInputs[i]; var iti = window.intlTelInputGlobals.getInstance(telInput); telInput.classList.remove("mpm-field-error"); if(iti.isValidNumber() == false && telInput.value && telInput.value.length) { telInput.classList.add("mpm-field-error"); failed = "Please enter a valid telephone number"; } else { let found = form_data.find(f=> f.name == telInput.name); if (found) { found.value = iti.getNumber(); // intenationally formatted version of the number } } } } if(failed != "") { mpMsg.innerHTML = failed; msgHlder.style.display = "block"; return; } let button = document.getElementById("mpform-f3d4b8ad7a92475dbea692be911633c3").querySelector('button'); if(button) { button.disabled = true; button.opacity = "0.5"; } mpMsg.innerHTML = 'Sending your details...'; var xhr = new XMLHttpRequest(); xhr.open("POST", "https://api.transpond.io/form?am=40129&fid=41783", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpFormf3d4b8ad7a92475dbea692be911633c3Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); if (!response || (!response.download && !response.downloads)) { try { document.getElementById('mpform-f3d4b8ad7a92475dbea692be911633c3').reset(); } catch(e) {} } if(response) { if (response.redirect) { window.location.href = response.redirect; } else if (response.message) { if (response.download) window.open(response.download, '_blank'); if (response.downloads && response.downloads.length) { const parent = button.parentElement; response.downloads.forEach(link => { const hiddenButton = document.getElementById("mpform-f3d4b8ad7a92475dbea692be911633c3").querySelector("a[href='" + link.replace + "']"); if (hiddenButton) { hiddenButton.href = link.link; hiddenButton.closest('[data-type="FORMFILE"]').style.display = 'block'; } }); parent.style.display = "none"; } mpMsg.innerHTML = response.message; } else if (response.replace) { document.getElementById('mpform-f3d4b8ad7a92475dbea692be911633c3').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmfa2440fc6dd44b548b890b97de23a00d); } else { mpFormf3d4b8ad7a92475dbea692be911633c3Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; var error = "Error submitting form"; if (xhr.responseText) { const errorJson = JSON.parse(xhr.responseText); if(errorJson.error && typeof errorJson.error === 'string') { error = errorJson.error; } } mpMsg.innerHTML = error; grecaptcha.reset(); } }; let urlEncodedDataPairs = []; form_data.forEach((m, i) => { let name = m.name; if (name === 'capsule_note') { name += '_' + i; } urlEncodedDataPairs.push(encodeURIComponent(name)+ "=" + encodeURIComponent(m.value)); }); const urlEncodedData = urlEncodedDataPairs.join('&').replace(/%20/g, '+'); xhr.setRequestHeader('Content-type', 'application/x-www-form-urlencoded'); xhr.send(urlEncodedData); return; } function mpmRecaptchaLoadedf3d4b8ad7a92475dbea692be911633c3() { captchaWidgetmpFrmfa2440fc6dd44b548b890b97de23a00d = grecaptcha.render('mpmRecaptchampFrmfa2440fc6dd44b548b890b97de23a00d', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdf3d4b8ad7a92475dbea692be911633c3() { try { let uuid = document.cookie.match('(^|;)\s*mpz\s*=\s*([^;]+)')?.pop() || ''; if(!uuid) { let found = document.cookie.split(';').find(c => c.indexOf('mpz=') > -1); if (found) uuid = found.split('=')[1]; } return uuid; } catch(e) { } }; function mpmFormInitf3d4b8ad7a92475dbea692be911633c3 () { var subscriberData = undefined; var form = '
First Name
Last Name
Email
Job Title
Company Name
Type of Provider
Number of Learners
If you don\'t want Cognassist to let you know when we publish new events and neuro-inclusion content, check this box
'; let failedCount = 0 function finishedLoadingf3d4b8ad7a92475dbea692be911633c3() { window.mpFormLoading = false; let container = document.getElementById('mpFrmfa2440fc6dd44b548b890b97de23a00d'); if (!container) { mpFormmpFrmfa2440fc6dd44b548b890b97de23a00dFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmfa2440fc6dd44b548b890b97de23a00d'); return setTimeout(finishedLoadingf3d4b8ad7a92475dbea692be911633c3, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-f3d4b8ad7a92475dbea692be911633c3").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-f3d4b8ad7a92475dbea692be911633c3").querySelectorAll('input[type=TELNO]'); if(telInputs) { for(var i = 0; i < telInputs.length; i++) { let telInp = telInputs[i]; telInp.style.width = "100%"; telInp.style.paddingLeft = "50px"; window.intlTelInput(telInp, { initialCountry: "us", utilsScript: "https://api.transpond.io/plugins/telNoVerificationUtils.js" } ); } } if(subscriberData) { let customFields = document.getElementById("mpform-f3d4b8ad7a92475dbea692be911633c3").querySelectorAll('input[name*="customField-"]') if(customFields) { for(var i = 0; i < customFields.length; i++) { let customField = customFields[i]; var cfID = customField.name; if(cfID) { cfID = cfID.split("-")[1]; let newValue = ""; if(subscriberData.customFields[cfID]) newValue = subscriberData.customFields[cfID]; customField.value = newValue } } } let customFieldsTextArea = document.getElementById("mpform-f3d4b8ad7a92475dbea692be911633c3").querySelectorAll('textarea[name*="customField-"]') if(customFieldsTextArea) { for(var i = 0; i < customFieldsTextArea.length; i++) { let customField = customFieldsTextArea[i]; var cfID = customField.name; if(cfID) { cfID = cfID.split("-")[1]; let newValue = ""; if(subscriberData.customFields[cfID]) newValue = subscriberData.customFields[cfID]; customField.value = newValue; } } } let emailAddressFields = document.getElementById("mpform-f3d4b8ad7a92475dbea692be911633c3").querySelectorAll('input[name$="emailAddress"]') if(emailAddressFields) { for(var i = 0; i < emailAddressFields.length; i++) { let emailAddressField = emailAddressFields[i]; emailAddressField.value = subscriberData.emailAddress; } } } var mpmRecaptchaScript = document.createElement("SCRIPT"); mpmRecaptchaScript.src = 'https://www.google.com/recaptcha/api.js?onload=mpmRecaptchaLoadedf3d4b8ad7a92475dbea692be911633c3&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupf3d4b8ad7a92475dbea692be911633c3() { let popups = document.getElementById("mpform-f3d4b8ad7a92475dbea692be911633c3").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputf3d4b8ad7a92475dbea692be911633c3() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingf3d4b8ad7a92475dbea692be911633c3(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingf3d4b8ad7a92475dbea692be911633c3(); } } var link = document.createElement("link"); link.href = "https://api.transpond.io/public/css/form.css"; link.type = "text/css"; link.rel = "stylesheet"; document.getElementsByTagName("head")[0].appendChild(link); var mTelI = document.createElement("link"); mTelI.href = "https://api.transpond.io/plugins/telNoVerification.css"; mTelI.type = "text/css"; mTelI.rel = "stylesheet"; document.getElementsByTagName("head")[0].appendChild(mTelI); mploadTelInputf3d4b8ad7a92475dbea692be911633c3(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitf3d4b8ad7a92475dbea692be911633c3(); } else { function waitForOtherFormsmpFrmfa2440fc6dd44b548b890b97de23a00d() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitf3d4b8ad7a92475dbea692be911633c3(); } else { setTimeout(waitForOtherFormsmpFrmfa2440fc6dd44b548b890b97de23a00d,300); } } waitForOtherFormsmpFrmfa2440fc6dd44b548b890b97de23a00d(); }