var captchaWidgetmpFrmdf2137a7f50149ca8086b3752875427d; var mpCurrentScriptmpFrmdf2137a7f50149ca8086b3752875427dContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmdf2137a7f50149ca8086b3752875427d"; 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); mpFormmpFrmdf2137a7f50149ca8086b3752875427dFind(); } })(); function mpFormmpFrmdf2137a7f50149ca8086b3752875427dFind() { if(!mpCurrentScriptmpFrmdf2137a7f50149ca8086b3752875427dContainer) return; if (mpCurrentScriptmpFrmdf2137a7f50149ca8086b3752875427dContainer && mpCurrentScriptmpFrmdf2137a7f50149ca8086b3752875427dContainer.nodeName && mpCurrentScriptmpFrmdf2137a7f50149ca8086b3752875427dContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmdf2137a7f50149ca8086b3752875427d" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmdf2137a7f50149ca8086b3752875427dContainer.children).forEach(c => { if (c.id === "mpFrmdf2137a7f50149ca8086b3752875427d") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripta4fe5e31df5546928a46ae6f0c962d05Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmdf2137a7f50149ca8086b3752875427d"; } } } } function mpForma4fe5e31df5546928a46ae6f0c962d05Check() { let checkBoxes = document.getElementById("mpform-a4fe5e31df5546928a46ae6f0c962d05").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 mpForma4fe5e31df5546928a46ae6f0c962d05Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-a4fe5e31df5546928a46ae6f0c962d05").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-a4fe5e31df5546928a46ae6f0c962d05").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-a4fe5e31df5546928a46ae6f0c962d05").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-a4fe5e31df5546928a46ae6f0c962d05')), 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: getTrackingIda4fe5e31df5546928a46ae6f0c962d05() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-a4fe5e31df5546928a46ae6f0c962d05").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-a4fe5e31df5546928a46ae6f0c962d05").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) { mpForma4fe5e31df5546928a46ae6f0c962d05Check(); 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-a4fe5e31df5546928a46ae6f0c962d05').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-a4fe5e31df5546928a46ae6f0c962d05").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-a4fe5e31df5546928a46ae6f0c962d05').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmdf2137a7f50149ca8086b3752875427d); } else { mpForma4fe5e31df5546928a46ae6f0c962d05Check(); 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 mpmRecaptchaLoadeda4fe5e31df5546928a46ae6f0c962d05() { captchaWidgetmpFrmdf2137a7f50149ca8086b3752875427d = grecaptcha.render('mpmRecaptchampFrmdf2137a7f50149ca8086b3752875427d', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIda4fe5e31df5546928a46ae6f0c962d05() { 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 mpmFormInita4fe5e31df5546928a46ae6f0c962d05 () { 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 finishedLoadinga4fe5e31df5546928a46ae6f0c962d05() { window.mpFormLoading = false; let container = document.getElementById('mpFrmdf2137a7f50149ca8086b3752875427d'); if (!container) { mpFormmpFrmdf2137a7f50149ca8086b3752875427dFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmdf2137a7f50149ca8086b3752875427d'); return setTimeout(finishedLoadinga4fe5e31df5546928a46ae6f0c962d05, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-a4fe5e31df5546928a46ae6f0c962d05").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-a4fe5e31df5546928a46ae6f0c962d05").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-a4fe5e31df5546928a46ae6f0c962d05").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-a4fe5e31df5546928a46ae6f0c962d05").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-a4fe5e31df5546928a46ae6f0c962d05").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=mpmRecaptchaLoadeda4fe5e31df5546928a46ae6f0c962d05&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupa4fe5e31df5546928a46ae6f0c962d05() { let popups = document.getElementById("mpform-a4fe5e31df5546928a46ae6f0c962d05").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputa4fe5e31df5546928a46ae6f0c962d05() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadinga4fe5e31df5546928a46ae6f0c962d05(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinga4fe5e31df5546928a46ae6f0c962d05(); } } 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); mploadTelInputa4fe5e31df5546928a46ae6f0c962d05(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInita4fe5e31df5546928a46ae6f0c962d05(); } else { function waitForOtherFormsmpFrmdf2137a7f50149ca8086b3752875427d() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInita4fe5e31df5546928a46ae6f0c962d05(); } else { setTimeout(waitForOtherFormsmpFrmdf2137a7f50149ca8086b3752875427d,300); } } waitForOtherFormsmpFrmdf2137a7f50149ca8086b3752875427d(); }