var captchaWidgetmpFrm54af785d730b4185a10058dd8140b2b8; var mpCurrentScriptmpFrm54af785d730b4185a10058dd8140b2b8Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm54af785d730b4185a10058dd8140b2b8"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41939"); 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); mpFormmpFrm54af785d730b4185a10058dd8140b2b8Find(); } })(); function mpFormmpFrm54af785d730b4185a10058dd8140b2b8Find() { if(!mpCurrentScriptmpFrm54af785d730b4185a10058dd8140b2b8Container) return; if (mpCurrentScriptmpFrm54af785d730b4185a10058dd8140b2b8Container && mpCurrentScriptmpFrm54af785d730b4185a10058dd8140b2b8Container.nodeName && mpCurrentScriptmpFrm54af785d730b4185a10058dd8140b2b8Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm54af785d730b4185a10058dd8140b2b8" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm54af785d730b4185a10058dd8140b2b8Container.children).forEach(c => { if (c.id === "mpFrm54af785d730b4185a10058dd8140b2b8") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptf4ef04160a2c4716a0040c80f70e86f6Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm54af785d730b4185a10058dd8140b2b8"; } } } } function mpFormf4ef04160a2c4716a0040c80f70e86f6Check() { let checkBoxes = document.getElementById("mpform-f4ef04160a2c4716a0040c80f70e86f6").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 mpFormf4ef04160a2c4716a0040c80f70e86f6Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-f4ef04160a2c4716a0040c80f70e86f6").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-f4ef04160a2c4716a0040c80f70e86f6").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-f4ef04160a2c4716a0040c80f70e86f6").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-f4ef04160a2c4716a0040c80f70e86f6')), 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: getTrackingIdf4ef04160a2c4716a0040c80f70e86f6() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-f4ef04160a2c4716a0040c80f70e86f6").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-f4ef04160a2c4716a0040c80f70e86f6").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=41939", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpFormf4ef04160a2c4716a0040c80f70e86f6Check(); 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-f4ef04160a2c4716a0040c80f70e86f6').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-f4ef04160a2c4716a0040c80f70e86f6").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-f4ef04160a2c4716a0040c80f70e86f6').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm54af785d730b4185a10058dd8140b2b8); } else { mpFormf4ef04160a2c4716a0040c80f70e86f6Check(); 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 mpmRecaptchaLoadedf4ef04160a2c4716a0040c80f70e86f6() { captchaWidgetmpFrm54af785d730b4185a10058dd8140b2b8 = grecaptcha.render('mpmRecaptchampFrm54af785d730b4185a10058dd8140b2b8', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdf4ef04160a2c4716a0040c80f70e86f6() { 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 mpmFormInitf4ef04160a2c4716a0040c80f70e86f6 () { 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 finishedLoadingf4ef04160a2c4716a0040c80f70e86f6() { window.mpFormLoading = false; let container = document.getElementById('mpFrm54af785d730b4185a10058dd8140b2b8'); if (!container) { mpFormmpFrm54af785d730b4185a10058dd8140b2b8Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm54af785d730b4185a10058dd8140b2b8'); return setTimeout(finishedLoadingf4ef04160a2c4716a0040c80f70e86f6, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-f4ef04160a2c4716a0040c80f70e86f6").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-f4ef04160a2c4716a0040c80f70e86f6").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-f4ef04160a2c4716a0040c80f70e86f6").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-f4ef04160a2c4716a0040c80f70e86f6").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-f4ef04160a2c4716a0040c80f70e86f6").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=mpmRecaptchaLoadedf4ef04160a2c4716a0040c80f70e86f6&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupf4ef04160a2c4716a0040c80f70e86f6() { let popups = document.getElementById("mpform-f4ef04160a2c4716a0040c80f70e86f6").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputf4ef04160a2c4716a0040c80f70e86f6() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingf4ef04160a2c4716a0040c80f70e86f6(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingf4ef04160a2c4716a0040c80f70e86f6(); } } 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); mploadTelInputf4ef04160a2c4716a0040c80f70e86f6(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitf4ef04160a2c4716a0040c80f70e86f6(); } else { function waitForOtherFormsmpFrm54af785d730b4185a10058dd8140b2b8() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitf4ef04160a2c4716a0040c80f70e86f6(); } else { setTimeout(waitForOtherFormsmpFrm54af785d730b4185a10058dd8140b2b8,300); } } waitForOtherFormsmpFrm54af785d730b4185a10058dd8140b2b8(); }