var captchaWidgetmpFrm0e8b7eadd565407cbf898ed8948fb0f0; var mpCurrentScriptmpFrm0e8b7eadd565407cbf898ed8948fb0f0Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm0e8b7eadd565407cbf898ed8948fb0f0"; 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); mpFormmpFrm0e8b7eadd565407cbf898ed8948fb0f0Find(); } })(); function mpFormmpFrm0e8b7eadd565407cbf898ed8948fb0f0Find() { if(!mpCurrentScriptmpFrm0e8b7eadd565407cbf898ed8948fb0f0Container) return; if (mpCurrentScriptmpFrm0e8b7eadd565407cbf898ed8948fb0f0Container && mpCurrentScriptmpFrm0e8b7eadd565407cbf898ed8948fb0f0Container.nodeName && mpCurrentScriptmpFrm0e8b7eadd565407cbf898ed8948fb0f0Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm0e8b7eadd565407cbf898ed8948fb0f0" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm0e8b7eadd565407cbf898ed8948fb0f0Container.children).forEach(c => { if (c.id === "mpFrm0e8b7eadd565407cbf898ed8948fb0f0") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptc818dcb683f54b1a9ab3926bfcf78546Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm0e8b7eadd565407cbf898ed8948fb0f0"; } } } } function mpFormc818dcb683f54b1a9ab3926bfcf78546Check() { let checkBoxes = document.getElementById("mpform-c818dcb683f54b1a9ab3926bfcf78546").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 mpFormc818dcb683f54b1a9ab3926bfcf78546Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-c818dcb683f54b1a9ab3926bfcf78546").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-c818dcb683f54b1a9ab3926bfcf78546").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-c818dcb683f54b1a9ab3926bfcf78546").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-c818dcb683f54b1a9ab3926bfcf78546')), 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: getTrackingIdc818dcb683f54b1a9ab3926bfcf78546() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-c818dcb683f54b1a9ab3926bfcf78546").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-c818dcb683f54b1a9ab3926bfcf78546").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) { mpFormc818dcb683f54b1a9ab3926bfcf78546Check(); 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-c818dcb683f54b1a9ab3926bfcf78546').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-c818dcb683f54b1a9ab3926bfcf78546").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-c818dcb683f54b1a9ab3926bfcf78546').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm0e8b7eadd565407cbf898ed8948fb0f0); } else { mpFormc818dcb683f54b1a9ab3926bfcf78546Check(); 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 mpmRecaptchaLoadedc818dcb683f54b1a9ab3926bfcf78546() { captchaWidgetmpFrm0e8b7eadd565407cbf898ed8948fb0f0 = grecaptcha.render('mpmRecaptchampFrm0e8b7eadd565407cbf898ed8948fb0f0', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdc818dcb683f54b1a9ab3926bfcf78546() { 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 mpmFormInitc818dcb683f54b1a9ab3926bfcf78546 () { 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 finishedLoadingc818dcb683f54b1a9ab3926bfcf78546() { window.mpFormLoading = false; let container = document.getElementById('mpFrm0e8b7eadd565407cbf898ed8948fb0f0'); if (!container) { mpFormmpFrm0e8b7eadd565407cbf898ed8948fb0f0Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm0e8b7eadd565407cbf898ed8948fb0f0'); return setTimeout(finishedLoadingc818dcb683f54b1a9ab3926bfcf78546, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-c818dcb683f54b1a9ab3926bfcf78546").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-c818dcb683f54b1a9ab3926bfcf78546").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-c818dcb683f54b1a9ab3926bfcf78546").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-c818dcb683f54b1a9ab3926bfcf78546").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-c818dcb683f54b1a9ab3926bfcf78546").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=mpmRecaptchaLoadedc818dcb683f54b1a9ab3926bfcf78546&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupc818dcb683f54b1a9ab3926bfcf78546() { let popups = document.getElementById("mpform-c818dcb683f54b1a9ab3926bfcf78546").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputc818dcb683f54b1a9ab3926bfcf78546() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingc818dcb683f54b1a9ab3926bfcf78546(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingc818dcb683f54b1a9ab3926bfcf78546(); } } 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); mploadTelInputc818dcb683f54b1a9ab3926bfcf78546(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitc818dcb683f54b1a9ab3926bfcf78546(); } else { function waitForOtherFormsmpFrm0e8b7eadd565407cbf898ed8948fb0f0() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitc818dcb683f54b1a9ab3926bfcf78546(); } else { setTimeout(waitForOtherFormsmpFrm0e8b7eadd565407cbf898ed8948fb0f0,300); } } waitForOtherFormsmpFrm0e8b7eadd565407cbf898ed8948fb0f0(); }