var captchaWidgetmpFrm0e3e1486e53e48a29967f3b02f094f5c; var mpCurrentScriptmpFrm0e3e1486e53e48a29967f3b02f094f5cContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm0e3e1486e53e48a29967f3b02f094f5c"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41783"); if (window.self !== window.top) { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener("DOMContentLoaded", function() { document.body.appendChild(containerDiv); }); } mpFormmpFrm0e3e1486e53e48a29967f3b02f094f5cFind(); } else 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); mpFormmpFrm0e3e1486e53e48a29967f3b02f094f5cFind(); } })(); function mpFormmpFrm0e3e1486e53e48a29967f3b02f094f5cFind() { if(!mpCurrentScriptmpFrm0e3e1486e53e48a29967f3b02f094f5cContainer) return; if (mpCurrentScriptmpFrm0e3e1486e53e48a29967f3b02f094f5cContainer && mpCurrentScriptmpFrm0e3e1486e53e48a29967f3b02f094f5cContainer.nodeName && mpCurrentScriptmpFrm0e3e1486e53e48a29967f3b02f094f5cContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm0e3e1486e53e48a29967f3b02f094f5c" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm0e3e1486e53e48a29967f3b02f094f5cContainer.children).forEach(c => { if (c.id === "mpFrm0e3e1486e53e48a29967f3b02f094f5c") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptfb1a68ec05f348ae856c963bdd3f2a7bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm0e3e1486e53e48a29967f3b02f094f5c"; } } } } function mpFormfb1a68ec05f348ae856c963bdd3f2a7bCheck() { let checkBoxes = document.getElementById("mpform-fb1a68ec05f348ae856c963bdd3f2a7b").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 mpFormfb1a68ec05f348ae856c963bdd3f2a7bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-fb1a68ec05f348ae856c963bdd3f2a7b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-fb1a68ec05f348ae856c963bdd3f2a7b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-fb1a68ec05f348ae856c963bdd3f2a7b").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-fb1a68ec05f348ae856c963bdd3f2a7b')), 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: getTrackingIdfb1a68ec05f348ae856c963bdd3f2a7b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-fb1a68ec05f348ae856c963bdd3f2a7b").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-fb1a68ec05f348ae856c963bdd3f2a7b").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) { mpFormfb1a68ec05f348ae856c963bdd3f2a7bCheck(); 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-fb1a68ec05f348ae856c963bdd3f2a7b').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-fb1a68ec05f348ae856c963bdd3f2a7b").querySelector("a[href='" + link.replace + "']"); if (hiddenButton) { hiddenButton.href = link.link; hiddenButton.closest('[data-type="FORMFILE"]').style.display = 'flex'; } }); parent.style.display = "none"; } mpMsg.innerHTML = response.message; } else if (response.replace) { document.getElementById('mpform-fb1a68ec05f348ae856c963bdd3f2a7b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm0e3e1486e53e48a29967f3b02f094f5c); } else { mpFormfb1a68ec05f348ae856c963bdd3f2a7bCheck(); 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 mpmRecaptchaLoadedfb1a68ec05f348ae856c963bdd3f2a7b() { captchaWidgetmpFrm0e3e1486e53e48a29967f3b02f094f5c = grecaptcha.render('mpmRecaptchampFrm0e3e1486e53e48a29967f3b02f094f5c', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdfb1a68ec05f348ae856c963bdd3f2a7b() { 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 mpmFormInitfb1a68ec05f348ae856c963bdd3f2a7b () { 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 finishedLoadingfb1a68ec05f348ae856c963bdd3f2a7b() { window.mpFormLoading = false; let container = document.getElementById('mpFrm0e3e1486e53e48a29967f3b02f094f5c'); if (!container) { mpFormmpFrm0e3e1486e53e48a29967f3b02f094f5cFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm0e3e1486e53e48a29967f3b02f094f5c'); return setTimeout(finishedLoadingfb1a68ec05f348ae856c963bdd3f2a7b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-fb1a68ec05f348ae856c963bdd3f2a7b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-fb1a68ec05f348ae856c963bdd3f2a7b").querySelectorAll('input[type=TELNO]'); if(telInputs) { let telInputCSSOver = ""; 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://cdn1.ourmailsender.com/scripts/telinput/utils.js", customContainer: "mpm-tel-input-container-fb1a68ec05f348ae856c963bdd3f2a7b-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-fb1a68ec05f348ae856c963bdd3f2a7b-" + i + " { margin: " + tmpMargin + " } " } } if(telInputCSSOver) { let style = document.createElement("style"); style.innerHTML = telInputCSSOver; document.getElementsByTagName("head")[0].appendChild(style); } } if(subscriberData) { let customFields = document.getElementById("mpform-fb1a68ec05f348ae856c963bdd3f2a7b").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-fb1a68ec05f348ae856c963bdd3f2a7b").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-fb1a68ec05f348ae856c963bdd3f2a7b").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=mpmRecaptchaLoadedfb1a68ec05f348ae856c963bdd3f2a7b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupfb1a68ec05f348ae856c963bdd3f2a7b() { let popups = document.getElementById("mpform-fb1a68ec05f348ae856c963bdd3f2a7b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputfb1a68ec05f348ae856c963bdd3f2a7b() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://cdn1.ourmailsender.com/scripts/telinput/intlTelInput.min.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingfb1a68ec05f348ae856c963bdd3f2a7b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingfb1a68ec05f348ae856c963bdd3f2a7b(); } } 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://cdn1.ourmailsender.com/scripts/telinput/intlTelInput.min.css"; mTelI.type = "text/css"; mTelI.rel = "stylesheet"; document.getElementsByTagName("head")[0].appendChild(mTelI); mploadTelInputfb1a68ec05f348ae856c963bdd3f2a7b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitfb1a68ec05f348ae856c963bdd3f2a7b(); } else { function waitForOtherFormsmpFrm0e3e1486e53e48a29967f3b02f094f5c() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitfb1a68ec05f348ae856c963bdd3f2a7b(); } else { setTimeout(waitForOtherFormsmpFrm0e3e1486e53e48a29967f3b02f094f5c,300); } } waitForOtherFormsmpFrm0e3e1486e53e48a29967f3b02f094f5c(); }