var captchaWidgetmpFrm3178d0cdba8c450ba569e8d7eb2650c8; var mpCurrentScriptmpFrm3178d0cdba8c450ba569e8d7eb2650c8Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm3178d0cdba8c450ba569e8d7eb2650c8"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41911"); 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); mpFormmpFrm3178d0cdba8c450ba569e8d7eb2650c8Find(); } })(); function mpFormmpFrm3178d0cdba8c450ba569e8d7eb2650c8Find() { if(!mpCurrentScriptmpFrm3178d0cdba8c450ba569e8d7eb2650c8Container) return; if (mpCurrentScriptmpFrm3178d0cdba8c450ba569e8d7eb2650c8Container && mpCurrentScriptmpFrm3178d0cdba8c450ba569e8d7eb2650c8Container.nodeName && mpCurrentScriptmpFrm3178d0cdba8c450ba569e8d7eb2650c8Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm3178d0cdba8c450ba569e8d7eb2650c8" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm3178d0cdba8c450ba569e8d7eb2650c8Container.children).forEach(c => { if (c.id === "mpFrm3178d0cdba8c450ba569e8d7eb2650c8") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript69f178383be744538fe69495409e524bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm3178d0cdba8c450ba569e8d7eb2650c8"; } } } } function mpForm69f178383be744538fe69495409e524bCheck() { let checkBoxes = document.getElementById("mpform-69f178383be744538fe69495409e524b").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 mpForm69f178383be744538fe69495409e524bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-69f178383be744538fe69495409e524b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-69f178383be744538fe69495409e524b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-69f178383be744538fe69495409e524b").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-69f178383be744538fe69495409e524b')), 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: getTrackingId69f178383be744538fe69495409e524b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-69f178383be744538fe69495409e524b").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-69f178383be744538fe69495409e524b").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=41911", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm69f178383be744538fe69495409e524bCheck(); 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-69f178383be744538fe69495409e524b').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-69f178383be744538fe69495409e524b").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-69f178383be744538fe69495409e524b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm3178d0cdba8c450ba569e8d7eb2650c8); } else { mpForm69f178383be744538fe69495409e524bCheck(); 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 mpmRecaptchaLoaded69f178383be744538fe69495409e524b() { captchaWidgetmpFrm3178d0cdba8c450ba569e8d7eb2650c8 = grecaptcha.render('mpmRecaptchampFrm3178d0cdba8c450ba569e8d7eb2650c8', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId69f178383be744538fe69495409e524b() { 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 mpmFormInit69f178383be744538fe69495409e524b () { 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 finishedLoading69f178383be744538fe69495409e524b() { window.mpFormLoading = false; let container = document.getElementById('mpFrm3178d0cdba8c450ba569e8d7eb2650c8'); if (!container) { mpFormmpFrm3178d0cdba8c450ba569e8d7eb2650c8Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm3178d0cdba8c450ba569e8d7eb2650c8'); return setTimeout(finishedLoading69f178383be744538fe69495409e524b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-69f178383be744538fe69495409e524b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-69f178383be744538fe69495409e524b").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-69f178383be744538fe69495409e524b").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-69f178383be744538fe69495409e524b").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-69f178383be744538fe69495409e524b").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=mpmRecaptchaLoaded69f178383be744538fe69495409e524b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup69f178383be744538fe69495409e524b() { let popups = document.getElementById("mpform-69f178383be744538fe69495409e524b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput69f178383be744538fe69495409e524b() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading69f178383be744538fe69495409e524b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading69f178383be744538fe69495409e524b(); } } 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); mploadTelInput69f178383be744538fe69495409e524b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit69f178383be744538fe69495409e524b(); } else { function waitForOtherFormsmpFrm3178d0cdba8c450ba569e8d7eb2650c8() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit69f178383be744538fe69495409e524b(); } else { setTimeout(waitForOtherFormsmpFrm3178d0cdba8c450ba569e8d7eb2650c8,300); } } waitForOtherFormsmpFrm3178d0cdba8c450ba569e8d7eb2650c8(); }