var captchaWidgetmpFrmc52da43a655f45f89023807d6192219f; var mpCurrentScriptmpFrmc52da43a655f45f89023807d6192219fContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmc52da43a655f45f89023807d6192219f"; 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); mpFormmpFrmc52da43a655f45f89023807d6192219fFind(); } })(); function mpFormmpFrmc52da43a655f45f89023807d6192219fFind() { if(!mpCurrentScriptmpFrmc52da43a655f45f89023807d6192219fContainer) return; if (mpCurrentScriptmpFrmc52da43a655f45f89023807d6192219fContainer && mpCurrentScriptmpFrmc52da43a655f45f89023807d6192219fContainer.nodeName && mpCurrentScriptmpFrmc52da43a655f45f89023807d6192219fContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmc52da43a655f45f89023807d6192219f" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmc52da43a655f45f89023807d6192219fContainer.children).forEach(c => { if (c.id === "mpFrmc52da43a655f45f89023807d6192219f") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptd14ae466dd1e4d32975accca286c6102Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmc52da43a655f45f89023807d6192219f"; } } } } function mpFormd14ae466dd1e4d32975accca286c6102Check() { let checkBoxes = document.getElementById("mpform-d14ae466dd1e4d32975accca286c6102").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 mpFormd14ae466dd1e4d32975accca286c6102Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-d14ae466dd1e4d32975accca286c6102").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-d14ae466dd1e4d32975accca286c6102").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-d14ae466dd1e4d32975accca286c6102").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-d14ae466dd1e4d32975accca286c6102')), 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: getTrackingIdd14ae466dd1e4d32975accca286c6102() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-d14ae466dd1e4d32975accca286c6102").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-d14ae466dd1e4d32975accca286c6102").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) { mpFormd14ae466dd1e4d32975accca286c6102Check(); 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-d14ae466dd1e4d32975accca286c6102').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-d14ae466dd1e4d32975accca286c6102").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-d14ae466dd1e4d32975accca286c6102').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmc52da43a655f45f89023807d6192219f); } else { mpFormd14ae466dd1e4d32975accca286c6102Check(); 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 mpmRecaptchaLoadedd14ae466dd1e4d32975accca286c6102() { captchaWidgetmpFrmc52da43a655f45f89023807d6192219f = grecaptcha.render('mpmRecaptchampFrmc52da43a655f45f89023807d6192219f', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdd14ae466dd1e4d32975accca286c6102() { 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 mpmFormInitd14ae466dd1e4d32975accca286c6102 () { 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 finishedLoadingd14ae466dd1e4d32975accca286c6102() { window.mpFormLoading = false; let container = document.getElementById('mpFrmc52da43a655f45f89023807d6192219f'); if (!container) { mpFormmpFrmc52da43a655f45f89023807d6192219fFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmc52da43a655f45f89023807d6192219f'); return setTimeout(finishedLoadingd14ae466dd1e4d32975accca286c6102, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-d14ae466dd1e4d32975accca286c6102").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-d14ae466dd1e4d32975accca286c6102").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-d14ae466dd1e4d32975accca286c6102").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-d14ae466dd1e4d32975accca286c6102").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-d14ae466dd1e4d32975accca286c6102").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=mpmRecaptchaLoadedd14ae466dd1e4d32975accca286c6102&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupd14ae466dd1e4d32975accca286c6102() { let popups = document.getElementById("mpform-d14ae466dd1e4d32975accca286c6102").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputd14ae466dd1e4d32975accca286c6102() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingd14ae466dd1e4d32975accca286c6102(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingd14ae466dd1e4d32975accca286c6102(); } } 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); mploadTelInputd14ae466dd1e4d32975accca286c6102(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitd14ae466dd1e4d32975accca286c6102(); } else { function waitForOtherFormsmpFrmc52da43a655f45f89023807d6192219f() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitd14ae466dd1e4d32975accca286c6102(); } else { setTimeout(waitForOtherFormsmpFrmc52da43a655f45f89023807d6192219f,300); } } waitForOtherFormsmpFrmc52da43a655f45f89023807d6192219f(); }