var captchaWidgetmpFrmbfa425685d8443c89d1f3d94c16b190d; var mpCurrentScriptmpFrmbfa425685d8443c89d1f3d94c16b190dContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmbfa425685d8443c89d1f3d94c16b190d"; 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); mpFormmpFrmbfa425685d8443c89d1f3d94c16b190dFind(); } })(); function mpFormmpFrmbfa425685d8443c89d1f3d94c16b190dFind() { if(!mpCurrentScriptmpFrmbfa425685d8443c89d1f3d94c16b190dContainer) return; if (mpCurrentScriptmpFrmbfa425685d8443c89d1f3d94c16b190dContainer && mpCurrentScriptmpFrmbfa425685d8443c89d1f3d94c16b190dContainer.nodeName && mpCurrentScriptmpFrmbfa425685d8443c89d1f3d94c16b190dContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmbfa425685d8443c89d1f3d94c16b190d" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmbfa425685d8443c89d1f3d94c16b190dContainer.children).forEach(c => { if (c.id === "mpFrmbfa425685d8443c89d1f3d94c16b190d") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript84c35da1d8df4447b9fe74ef4045f3a3Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmbfa425685d8443c89d1f3d94c16b190d"; } } } } function mpForm84c35da1d8df4447b9fe74ef4045f3a3Check() { let checkBoxes = document.getElementById("mpform-84c35da1d8df4447b9fe74ef4045f3a3").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 mpForm84c35da1d8df4447b9fe74ef4045f3a3Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-84c35da1d8df4447b9fe74ef4045f3a3").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-84c35da1d8df4447b9fe74ef4045f3a3").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-84c35da1d8df4447b9fe74ef4045f3a3").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-84c35da1d8df4447b9fe74ef4045f3a3')), 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: getTrackingId84c35da1d8df4447b9fe74ef4045f3a3() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-84c35da1d8df4447b9fe74ef4045f3a3").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-84c35da1d8df4447b9fe74ef4045f3a3").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) { mpForm84c35da1d8df4447b9fe74ef4045f3a3Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-84c35da1d8df4447b9fe74ef4045f3a3').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-84c35da1d8df4447b9fe74ef4045f3a3").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-84c35da1d8df4447b9fe74ef4045f3a3').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmbfa425685d8443c89d1f3d94c16b190d); } else { mpForm84c35da1d8df4447b9fe74ef4045f3a3Check(); 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 mpmRecaptchaLoaded84c35da1d8df4447b9fe74ef4045f3a3() { captchaWidgetmpFrmbfa425685d8443c89d1f3d94c16b190d = grecaptcha.render('mpmRecaptchampFrmbfa425685d8443c89d1f3d94c16b190d', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId84c35da1d8df4447b9fe74ef4045f3a3() { 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 mpmFormInit84c35da1d8df4447b9fe74ef4045f3a3 () { 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 finishedLoading84c35da1d8df4447b9fe74ef4045f3a3() { window.mpFormLoading = false; let container = document.getElementById('mpFrmbfa425685d8443c89d1f3d94c16b190d'); if (!container) { mpFormmpFrmbfa425685d8443c89d1f3d94c16b190dFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmbfa425685d8443c89d1f3d94c16b190d'); return setTimeout(finishedLoading84c35da1d8df4447b9fe74ef4045f3a3, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-84c35da1d8df4447b9fe74ef4045f3a3").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-84c35da1d8df4447b9fe74ef4045f3a3").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-84c35da1d8df4447b9fe74ef4045f3a3").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-84c35da1d8df4447b9fe74ef4045f3a3").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-84c35da1d8df4447b9fe74ef4045f3a3").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=mpmRecaptchaLoaded84c35da1d8df4447b9fe74ef4045f3a3&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup84c35da1d8df4447b9fe74ef4045f3a3() { let popups = document.getElementById("mpform-84c35da1d8df4447b9fe74ef4045f3a3").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput84c35da1d8df4447b9fe74ef4045f3a3() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading84c35da1d8df4447b9fe74ef4045f3a3(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading84c35da1d8df4447b9fe74ef4045f3a3(); } } 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); mploadTelInput84c35da1d8df4447b9fe74ef4045f3a3(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit84c35da1d8df4447b9fe74ef4045f3a3(); } else { function waitForOtherFormsmpFrmbfa425685d8443c89d1f3d94c16b190d() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit84c35da1d8df4447b9fe74ef4045f3a3(); } else { setTimeout(waitForOtherFormsmpFrmbfa425685d8443c89d1f3d94c16b190d,300); } } waitForOtherFormsmpFrmbfa425685d8443c89d1f3d94c16b190d(); }