var captchaWidgetmpFrme4781d000f8b41ef997be8d6db7bf583; var mpCurrentScriptmpFrme4781d000f8b41ef997be8d6db7bf583Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrme4781d000f8b41ef997be8d6db7bf583"; 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); mpFormmpFrme4781d000f8b41ef997be8d6db7bf583Find(); } })(); function mpFormmpFrme4781d000f8b41ef997be8d6db7bf583Find() { if(!mpCurrentScriptmpFrme4781d000f8b41ef997be8d6db7bf583Container) return; if (mpCurrentScriptmpFrme4781d000f8b41ef997be8d6db7bf583Container && mpCurrentScriptmpFrme4781d000f8b41ef997be8d6db7bf583Container.nodeName && mpCurrentScriptmpFrme4781d000f8b41ef997be8d6db7bf583Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrme4781d000f8b41ef997be8d6db7bf583" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrme4781d000f8b41ef997be8d6db7bf583Container.children).forEach(c => { if (c.id === "mpFrme4781d000f8b41ef997be8d6db7bf583") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptd8d36b2b84dc49fe8323d0e2aefdd0ffContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrme4781d000f8b41ef997be8d6db7bf583"; } } } } function mpFormd8d36b2b84dc49fe8323d0e2aefdd0ffCheck() { let checkBoxes = document.getElementById("mpform-d8d36b2b84dc49fe8323d0e2aefdd0ff").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 mpFormd8d36b2b84dc49fe8323d0e2aefdd0ffSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-d8d36b2b84dc49fe8323d0e2aefdd0ff").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-d8d36b2b84dc49fe8323d0e2aefdd0ff").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-d8d36b2b84dc49fe8323d0e2aefdd0ff").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-d8d36b2b84dc49fe8323d0e2aefdd0ff')), 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: getTrackingIdd8d36b2b84dc49fe8323d0e2aefdd0ff() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-d8d36b2b84dc49fe8323d0e2aefdd0ff").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-d8d36b2b84dc49fe8323d0e2aefdd0ff").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) { mpFormd8d36b2b84dc49fe8323d0e2aefdd0ffCheck(); 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-d8d36b2b84dc49fe8323d0e2aefdd0ff').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-d8d36b2b84dc49fe8323d0e2aefdd0ff").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-d8d36b2b84dc49fe8323d0e2aefdd0ff').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrme4781d000f8b41ef997be8d6db7bf583); } else { mpFormd8d36b2b84dc49fe8323d0e2aefdd0ffCheck(); 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 mpmRecaptchaLoadedd8d36b2b84dc49fe8323d0e2aefdd0ff() { captchaWidgetmpFrme4781d000f8b41ef997be8d6db7bf583 = grecaptcha.render('mpmRecaptchampFrme4781d000f8b41ef997be8d6db7bf583', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdd8d36b2b84dc49fe8323d0e2aefdd0ff() { 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 mpmFormInitd8d36b2b84dc49fe8323d0e2aefdd0ff () { 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 finishedLoadingd8d36b2b84dc49fe8323d0e2aefdd0ff() { window.mpFormLoading = false; let container = document.getElementById('mpFrme4781d000f8b41ef997be8d6db7bf583'); if (!container) { mpFormmpFrme4781d000f8b41ef997be8d6db7bf583Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrme4781d000f8b41ef997be8d6db7bf583'); return setTimeout(finishedLoadingd8d36b2b84dc49fe8323d0e2aefdd0ff, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-d8d36b2b84dc49fe8323d0e2aefdd0ff").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-d8d36b2b84dc49fe8323d0e2aefdd0ff").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-d8d36b2b84dc49fe8323d0e2aefdd0ff").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-d8d36b2b84dc49fe8323d0e2aefdd0ff").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-d8d36b2b84dc49fe8323d0e2aefdd0ff").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=mpmRecaptchaLoadedd8d36b2b84dc49fe8323d0e2aefdd0ff&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupd8d36b2b84dc49fe8323d0e2aefdd0ff() { let popups = document.getElementById("mpform-d8d36b2b84dc49fe8323d0e2aefdd0ff").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputd8d36b2b84dc49fe8323d0e2aefdd0ff() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingd8d36b2b84dc49fe8323d0e2aefdd0ff(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingd8d36b2b84dc49fe8323d0e2aefdd0ff(); } } 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); mploadTelInputd8d36b2b84dc49fe8323d0e2aefdd0ff(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitd8d36b2b84dc49fe8323d0e2aefdd0ff(); } else { function waitForOtherFormsmpFrme4781d000f8b41ef997be8d6db7bf583() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitd8d36b2b84dc49fe8323d0e2aefdd0ff(); } else { setTimeout(waitForOtherFormsmpFrme4781d000f8b41ef997be8d6db7bf583,300); } } waitForOtherFormsmpFrme4781d000f8b41ef997be8d6db7bf583(); }