var captchaWidgetmpFrm62af1857fd08448faf1d783972f5f58b; var mpCurrentScriptmpFrm62af1857fd08448faf1d783972f5f58bContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm62af1857fd08448faf1d783972f5f58b"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41879"); 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); mpFormmpFrm62af1857fd08448faf1d783972f5f58bFind(); } })(); function mpFormmpFrm62af1857fd08448faf1d783972f5f58bFind() { if(!mpCurrentScriptmpFrm62af1857fd08448faf1d783972f5f58bContainer) return; if (mpCurrentScriptmpFrm62af1857fd08448faf1d783972f5f58bContainer && mpCurrentScriptmpFrm62af1857fd08448faf1d783972f5f58bContainer.nodeName && mpCurrentScriptmpFrm62af1857fd08448faf1d783972f5f58bContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41879']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm62af1857fd08448faf1d783972f5f58b" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm62af1857fd08448faf1d783972f5f58bContainer.children).forEach(c => { if (c.id === "mpFrm62af1857fd08448faf1d783972f5f58b") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript536983ffc52d459c9935757b7ff6781eContainer.children).filter(e => e.dataset && e.dataset.mpid === "41879"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm62af1857fd08448faf1d783972f5f58b"; } } } } function mpForm536983ffc52d459c9935757b7ff6781eCheck() { let checkBoxes = document.getElementById("mpform-536983ffc52d459c9935757b7ff6781e").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 mpForm536983ffc52d459c9935757b7ff6781eSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-536983ffc52d459c9935757b7ff6781e").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-536983ffc52d459c9935757b7ff6781e").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-536983ffc52d459c9935757b7ff6781e").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-536983ffc52d459c9935757b7ff6781e')), 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: getTrackingId536983ffc52d459c9935757b7ff6781e() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-536983ffc52d459c9935757b7ff6781e").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-536983ffc52d459c9935757b7ff6781e").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=41879", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm536983ffc52d459c9935757b7ff6781eCheck(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-536983ffc52d459c9935757b7ff6781e').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-536983ffc52d459c9935757b7ff6781e").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-536983ffc52d459c9935757b7ff6781e').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm62af1857fd08448faf1d783972f5f58b); } else { mpForm536983ffc52d459c9935757b7ff6781eCheck(); 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 mpmRecaptchaLoaded536983ffc52d459c9935757b7ff6781e() { captchaWidgetmpFrm62af1857fd08448faf1d783972f5f58b = grecaptcha.render('mpmRecaptchampFrm62af1857fd08448faf1d783972f5f58b', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId536983ffc52d459c9935757b7ff6781e() { 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 mpmFormInit536983ffc52d459c9935757b7ff6781e () { 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 finishedLoading536983ffc52d459c9935757b7ff6781e() { window.mpFormLoading = false; let container = document.getElementById('mpFrm62af1857fd08448faf1d783972f5f58b'); if (!container) { mpFormmpFrm62af1857fd08448faf1d783972f5f58bFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm62af1857fd08448faf1d783972f5f58b'); return setTimeout(finishedLoading536983ffc52d459c9935757b7ff6781e, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-536983ffc52d459c9935757b7ff6781e").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-536983ffc52d459c9935757b7ff6781e").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-536983ffc52d459c9935757b7ff6781e").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-536983ffc52d459c9935757b7ff6781e").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-536983ffc52d459c9935757b7ff6781e").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=mpmRecaptchaLoaded536983ffc52d459c9935757b7ff6781e&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup536983ffc52d459c9935757b7ff6781e() { let popups = document.getElementById("mpform-536983ffc52d459c9935757b7ff6781e").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput536983ffc52d459c9935757b7ff6781e() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading536983ffc52d459c9935757b7ff6781e(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading536983ffc52d459c9935757b7ff6781e(); } } 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); mploadTelInput536983ffc52d459c9935757b7ff6781e(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit536983ffc52d459c9935757b7ff6781e(); } else { function waitForOtherFormsmpFrm62af1857fd08448faf1d783972f5f58b() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit536983ffc52d459c9935757b7ff6781e(); } else { setTimeout(waitForOtherFormsmpFrm62af1857fd08448faf1d783972f5f58b,300); } } waitForOtherFormsmpFrm62af1857fd08448faf1d783972f5f58b(); }