var captchaWidgetmpFrmadce905864bb4ac294a21102168f2c04; var mpCurrentScriptmpFrmadce905864bb4ac294a21102168f2c04Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmadce905864bb4ac294a21102168f2c04"; 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); mpFormmpFrmadce905864bb4ac294a21102168f2c04Find(); } })(); function mpFormmpFrmadce905864bb4ac294a21102168f2c04Find() { if(!mpCurrentScriptmpFrmadce905864bb4ac294a21102168f2c04Container) return; if (mpCurrentScriptmpFrmadce905864bb4ac294a21102168f2c04Container && mpCurrentScriptmpFrmadce905864bb4ac294a21102168f2c04Container.nodeName && mpCurrentScriptmpFrmadce905864bb4ac294a21102168f2c04Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmadce905864bb4ac294a21102168f2c04" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmadce905864bb4ac294a21102168f2c04Container.children).forEach(c => { if (c.id === "mpFrmadce905864bb4ac294a21102168f2c04") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript7ea40f4a4b77463782d914e0e0f3edabContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmadce905864bb4ac294a21102168f2c04"; } } } } function mpForm7ea40f4a4b77463782d914e0e0f3edabCheck() { let checkBoxes = document.getElementById("mpform-7ea40f4a4b77463782d914e0e0f3edab").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 mpForm7ea40f4a4b77463782d914e0e0f3edabSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-7ea40f4a4b77463782d914e0e0f3edab").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-7ea40f4a4b77463782d914e0e0f3edab").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-7ea40f4a4b77463782d914e0e0f3edab").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-7ea40f4a4b77463782d914e0e0f3edab')), 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: getTrackingId7ea40f4a4b77463782d914e0e0f3edab() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-7ea40f4a4b77463782d914e0e0f3edab").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-7ea40f4a4b77463782d914e0e0f3edab").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) { mpForm7ea40f4a4b77463782d914e0e0f3edabCheck(); 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-7ea40f4a4b77463782d914e0e0f3edab').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-7ea40f4a4b77463782d914e0e0f3edab").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-7ea40f4a4b77463782d914e0e0f3edab').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmadce905864bb4ac294a21102168f2c04); } else { mpForm7ea40f4a4b77463782d914e0e0f3edabCheck(); 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 mpmRecaptchaLoaded7ea40f4a4b77463782d914e0e0f3edab() { captchaWidgetmpFrmadce905864bb4ac294a21102168f2c04 = grecaptcha.render('mpmRecaptchampFrmadce905864bb4ac294a21102168f2c04', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId7ea40f4a4b77463782d914e0e0f3edab() { 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 mpmFormInit7ea40f4a4b77463782d914e0e0f3edab () { 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 finishedLoading7ea40f4a4b77463782d914e0e0f3edab() { window.mpFormLoading = false; let container = document.getElementById('mpFrmadce905864bb4ac294a21102168f2c04'); if (!container) { mpFormmpFrmadce905864bb4ac294a21102168f2c04Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmadce905864bb4ac294a21102168f2c04'); return setTimeout(finishedLoading7ea40f4a4b77463782d914e0e0f3edab, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-7ea40f4a4b77463782d914e0e0f3edab").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-7ea40f4a4b77463782d914e0e0f3edab").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-7ea40f4a4b77463782d914e0e0f3edab").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-7ea40f4a4b77463782d914e0e0f3edab").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-7ea40f4a4b77463782d914e0e0f3edab").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=mpmRecaptchaLoaded7ea40f4a4b77463782d914e0e0f3edab&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup7ea40f4a4b77463782d914e0e0f3edab() { let popups = document.getElementById("mpform-7ea40f4a4b77463782d914e0e0f3edab").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput7ea40f4a4b77463782d914e0e0f3edab() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading7ea40f4a4b77463782d914e0e0f3edab(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading7ea40f4a4b77463782d914e0e0f3edab(); } } 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); mploadTelInput7ea40f4a4b77463782d914e0e0f3edab(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit7ea40f4a4b77463782d914e0e0f3edab(); } else { function waitForOtherFormsmpFrmadce905864bb4ac294a21102168f2c04() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit7ea40f4a4b77463782d914e0e0f3edab(); } else { setTimeout(waitForOtherFormsmpFrmadce905864bb4ac294a21102168f2c04,300); } } waitForOtherFormsmpFrmadce905864bb4ac294a21102168f2c04(); }