var captchaWidgetmpFrmaae75afecf7143dcb6b77189461df595; var mpCurrentScriptmpFrmaae75afecf7143dcb6b77189461df595Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmaae75afecf7143dcb6b77189461df595"; 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); mpFormmpFrmaae75afecf7143dcb6b77189461df595Find(); } })(); function mpFormmpFrmaae75afecf7143dcb6b77189461df595Find() { if(!mpCurrentScriptmpFrmaae75afecf7143dcb6b77189461df595Container) return; if (mpCurrentScriptmpFrmaae75afecf7143dcb6b77189461df595Container && mpCurrentScriptmpFrmaae75afecf7143dcb6b77189461df595Container.nodeName && mpCurrentScriptmpFrmaae75afecf7143dcb6b77189461df595Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmaae75afecf7143dcb6b77189461df595" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmaae75afecf7143dcb6b77189461df595Container.children).forEach(c => { if (c.id === "mpFrmaae75afecf7143dcb6b77189461df595") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript70a20cfcc8f24b04a8da29081b03db9fContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmaae75afecf7143dcb6b77189461df595"; } } } } function mpForm70a20cfcc8f24b04a8da29081b03db9fCheck() { let checkBoxes = document.getElementById("mpform-70a20cfcc8f24b04a8da29081b03db9f").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 mpForm70a20cfcc8f24b04a8da29081b03db9fSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-70a20cfcc8f24b04a8da29081b03db9f").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-70a20cfcc8f24b04a8da29081b03db9f").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-70a20cfcc8f24b04a8da29081b03db9f").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-70a20cfcc8f24b04a8da29081b03db9f')), 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: getTrackingId70a20cfcc8f24b04a8da29081b03db9f() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-70a20cfcc8f24b04a8da29081b03db9f").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-70a20cfcc8f24b04a8da29081b03db9f").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) { mpForm70a20cfcc8f24b04a8da29081b03db9fCheck(); 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-70a20cfcc8f24b04a8da29081b03db9f').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-70a20cfcc8f24b04a8da29081b03db9f").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-70a20cfcc8f24b04a8da29081b03db9f').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmaae75afecf7143dcb6b77189461df595); } else { mpForm70a20cfcc8f24b04a8da29081b03db9fCheck(); 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 mpmRecaptchaLoaded70a20cfcc8f24b04a8da29081b03db9f() { captchaWidgetmpFrmaae75afecf7143dcb6b77189461df595 = grecaptcha.render('mpmRecaptchampFrmaae75afecf7143dcb6b77189461df595', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId70a20cfcc8f24b04a8da29081b03db9f() { 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 mpmFormInit70a20cfcc8f24b04a8da29081b03db9f () { 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 finishedLoading70a20cfcc8f24b04a8da29081b03db9f() { window.mpFormLoading = false; let container = document.getElementById('mpFrmaae75afecf7143dcb6b77189461df595'); if (!container) { mpFormmpFrmaae75afecf7143dcb6b77189461df595Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmaae75afecf7143dcb6b77189461df595'); return setTimeout(finishedLoading70a20cfcc8f24b04a8da29081b03db9f, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-70a20cfcc8f24b04a8da29081b03db9f").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-70a20cfcc8f24b04a8da29081b03db9f").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-70a20cfcc8f24b04a8da29081b03db9f").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-70a20cfcc8f24b04a8da29081b03db9f").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-70a20cfcc8f24b04a8da29081b03db9f").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=mpmRecaptchaLoaded70a20cfcc8f24b04a8da29081b03db9f&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup70a20cfcc8f24b04a8da29081b03db9f() { let popups = document.getElementById("mpform-70a20cfcc8f24b04a8da29081b03db9f").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput70a20cfcc8f24b04a8da29081b03db9f() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading70a20cfcc8f24b04a8da29081b03db9f(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading70a20cfcc8f24b04a8da29081b03db9f(); } } 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); mploadTelInput70a20cfcc8f24b04a8da29081b03db9f(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit70a20cfcc8f24b04a8da29081b03db9f(); } else { function waitForOtherFormsmpFrmaae75afecf7143dcb6b77189461df595() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit70a20cfcc8f24b04a8da29081b03db9f(); } else { setTimeout(waitForOtherFormsmpFrmaae75afecf7143dcb6b77189461df595,300); } } waitForOtherFormsmpFrmaae75afecf7143dcb6b77189461df595(); }