var captchaWidgetmpFrmcd127745178f434e9c95f70178295feb; var mpCurrentScriptmpFrmcd127745178f434e9c95f70178295febContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmcd127745178f434e9c95f70178295feb"; 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); mpFormmpFrmcd127745178f434e9c95f70178295febFind(); } })(); function mpFormmpFrmcd127745178f434e9c95f70178295febFind() { if(!mpCurrentScriptmpFrmcd127745178f434e9c95f70178295febContainer) return; if (mpCurrentScriptmpFrmcd127745178f434e9c95f70178295febContainer && mpCurrentScriptmpFrmcd127745178f434e9c95f70178295febContainer.nodeName && mpCurrentScriptmpFrmcd127745178f434e9c95f70178295febContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmcd127745178f434e9c95f70178295feb" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmcd127745178f434e9c95f70178295febContainer.children).forEach(c => { if (c.id === "mpFrmcd127745178f434e9c95f70178295feb") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptdde5b3b6622d47d4b17b61a12534942aContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmcd127745178f434e9c95f70178295feb"; } } } } function mpFormdde5b3b6622d47d4b17b61a12534942aCheck() { let checkBoxes = document.getElementById("mpform-dde5b3b6622d47d4b17b61a12534942a").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 mpFormdde5b3b6622d47d4b17b61a12534942aSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-dde5b3b6622d47d4b17b61a12534942a").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-dde5b3b6622d47d4b17b61a12534942a").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-dde5b3b6622d47d4b17b61a12534942a").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-dde5b3b6622d47d4b17b61a12534942a')), 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: getTrackingIddde5b3b6622d47d4b17b61a12534942a() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-dde5b3b6622d47d4b17b61a12534942a").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-dde5b3b6622d47d4b17b61a12534942a").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) { mpFormdde5b3b6622d47d4b17b61a12534942aCheck(); 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-dde5b3b6622d47d4b17b61a12534942a').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-dde5b3b6622d47d4b17b61a12534942a").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-dde5b3b6622d47d4b17b61a12534942a').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmcd127745178f434e9c95f70178295feb); } else { mpFormdde5b3b6622d47d4b17b61a12534942aCheck(); 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 mpmRecaptchaLoadeddde5b3b6622d47d4b17b61a12534942a() { captchaWidgetmpFrmcd127745178f434e9c95f70178295feb = grecaptcha.render('mpmRecaptchampFrmcd127745178f434e9c95f70178295feb', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIddde5b3b6622d47d4b17b61a12534942a() { 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 mpmFormInitdde5b3b6622d47d4b17b61a12534942a () { 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 finishedLoadingdde5b3b6622d47d4b17b61a12534942a() { window.mpFormLoading = false; let container = document.getElementById('mpFrmcd127745178f434e9c95f70178295feb'); if (!container) { mpFormmpFrmcd127745178f434e9c95f70178295febFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmcd127745178f434e9c95f70178295feb'); return setTimeout(finishedLoadingdde5b3b6622d47d4b17b61a12534942a, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-dde5b3b6622d47d4b17b61a12534942a").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-dde5b3b6622d47d4b17b61a12534942a").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-dde5b3b6622d47d4b17b61a12534942a").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-dde5b3b6622d47d4b17b61a12534942a").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-dde5b3b6622d47d4b17b61a12534942a").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=mpmRecaptchaLoadeddde5b3b6622d47d4b17b61a12534942a&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupdde5b3b6622d47d4b17b61a12534942a() { let popups = document.getElementById("mpform-dde5b3b6622d47d4b17b61a12534942a").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputdde5b3b6622d47d4b17b61a12534942a() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingdde5b3b6622d47d4b17b61a12534942a(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingdde5b3b6622d47d4b17b61a12534942a(); } } 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); mploadTelInputdde5b3b6622d47d4b17b61a12534942a(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitdde5b3b6622d47d4b17b61a12534942a(); } else { function waitForOtherFormsmpFrmcd127745178f434e9c95f70178295feb() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitdde5b3b6622d47d4b17b61a12534942a(); } else { setTimeout(waitForOtherFormsmpFrmcd127745178f434e9c95f70178295feb,300); } } waitForOtherFormsmpFrmcd127745178f434e9c95f70178295feb(); }