var captchaWidgetmpFrmf44f72e60ed749df88f9739b42dd7bde; var mpCurrentScriptmpFrmf44f72e60ed749df88f9739b42dd7bdeContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmf44f72e60ed749df88f9739b42dd7bde"; 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); mpFormmpFrmf44f72e60ed749df88f9739b42dd7bdeFind(); } })(); function mpFormmpFrmf44f72e60ed749df88f9739b42dd7bdeFind() { if(!mpCurrentScriptmpFrmf44f72e60ed749df88f9739b42dd7bdeContainer) return; if (mpCurrentScriptmpFrmf44f72e60ed749df88f9739b42dd7bdeContainer && mpCurrentScriptmpFrmf44f72e60ed749df88f9739b42dd7bdeContainer.nodeName && mpCurrentScriptmpFrmf44f72e60ed749df88f9739b42dd7bdeContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmf44f72e60ed749df88f9739b42dd7bde" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmf44f72e60ed749df88f9739b42dd7bdeContainer.children).forEach(c => { if (c.id === "mpFrmf44f72e60ed749df88f9739b42dd7bde") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptcf9d519d45f54f7885bae417d58b273eContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmf44f72e60ed749df88f9739b42dd7bde"; } } } } function mpFormcf9d519d45f54f7885bae417d58b273eCheck() { let checkBoxes = document.getElementById("mpform-cf9d519d45f54f7885bae417d58b273e").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 mpFormcf9d519d45f54f7885bae417d58b273eSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-cf9d519d45f54f7885bae417d58b273e").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-cf9d519d45f54f7885bae417d58b273e").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-cf9d519d45f54f7885bae417d58b273e").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-cf9d519d45f54f7885bae417d58b273e')), 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: getTrackingIdcf9d519d45f54f7885bae417d58b273e() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-cf9d519d45f54f7885bae417d58b273e").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-cf9d519d45f54f7885bae417d58b273e").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) { mpFormcf9d519d45f54f7885bae417d58b273eCheck(); 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-cf9d519d45f54f7885bae417d58b273e').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-cf9d519d45f54f7885bae417d58b273e").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-cf9d519d45f54f7885bae417d58b273e').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmf44f72e60ed749df88f9739b42dd7bde); } else { mpFormcf9d519d45f54f7885bae417d58b273eCheck(); 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 mpmRecaptchaLoadedcf9d519d45f54f7885bae417d58b273e() { captchaWidgetmpFrmf44f72e60ed749df88f9739b42dd7bde = grecaptcha.render('mpmRecaptchampFrmf44f72e60ed749df88f9739b42dd7bde', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdcf9d519d45f54f7885bae417d58b273e() { 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 mpmFormInitcf9d519d45f54f7885bae417d58b273e () { 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 finishedLoadingcf9d519d45f54f7885bae417d58b273e() { window.mpFormLoading = false; let container = document.getElementById('mpFrmf44f72e60ed749df88f9739b42dd7bde'); if (!container) { mpFormmpFrmf44f72e60ed749df88f9739b42dd7bdeFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmf44f72e60ed749df88f9739b42dd7bde'); return setTimeout(finishedLoadingcf9d519d45f54f7885bae417d58b273e, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-cf9d519d45f54f7885bae417d58b273e").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-cf9d519d45f54f7885bae417d58b273e").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-cf9d519d45f54f7885bae417d58b273e").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-cf9d519d45f54f7885bae417d58b273e").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-cf9d519d45f54f7885bae417d58b273e").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=mpmRecaptchaLoadedcf9d519d45f54f7885bae417d58b273e&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupcf9d519d45f54f7885bae417d58b273e() { let popups = document.getElementById("mpform-cf9d519d45f54f7885bae417d58b273e").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputcf9d519d45f54f7885bae417d58b273e() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingcf9d519d45f54f7885bae417d58b273e(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingcf9d519d45f54f7885bae417d58b273e(); } } 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); mploadTelInputcf9d519d45f54f7885bae417d58b273e(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitcf9d519d45f54f7885bae417d58b273e(); } else { function waitForOtherFormsmpFrmf44f72e60ed749df88f9739b42dd7bde() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitcf9d519d45f54f7885bae417d58b273e(); } else { setTimeout(waitForOtherFormsmpFrmf44f72e60ed749df88f9739b42dd7bde,300); } } waitForOtherFormsmpFrmf44f72e60ed749df88f9739b42dd7bde(); }