var captchaWidgetmpFrm377fb3aa093844ee939dcb3707233723; var mpCurrentScriptmpFrm377fb3aa093844ee939dcb3707233723Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm377fb3aa093844ee939dcb3707233723"; 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); mpFormmpFrm377fb3aa093844ee939dcb3707233723Find(); } })(); function mpFormmpFrm377fb3aa093844ee939dcb3707233723Find() { if(!mpCurrentScriptmpFrm377fb3aa093844ee939dcb3707233723Container) return; if (mpCurrentScriptmpFrm377fb3aa093844ee939dcb3707233723Container && mpCurrentScriptmpFrm377fb3aa093844ee939dcb3707233723Container.nodeName && mpCurrentScriptmpFrm377fb3aa093844ee939dcb3707233723Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm377fb3aa093844ee939dcb3707233723" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm377fb3aa093844ee939dcb3707233723Container.children).forEach(c => { if (c.id === "mpFrm377fb3aa093844ee939dcb3707233723") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript4f85d619eb0843cca29e78fe11768ab8Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm377fb3aa093844ee939dcb3707233723"; } } } } function mpForm4f85d619eb0843cca29e78fe11768ab8Check() { let checkBoxes = document.getElementById("mpform-4f85d619eb0843cca29e78fe11768ab8").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 mpForm4f85d619eb0843cca29e78fe11768ab8Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-4f85d619eb0843cca29e78fe11768ab8").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-4f85d619eb0843cca29e78fe11768ab8").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-4f85d619eb0843cca29e78fe11768ab8").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-4f85d619eb0843cca29e78fe11768ab8')), 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: getTrackingId4f85d619eb0843cca29e78fe11768ab8() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-4f85d619eb0843cca29e78fe11768ab8").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-4f85d619eb0843cca29e78fe11768ab8").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) { mpForm4f85d619eb0843cca29e78fe11768ab8Check(); 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-4f85d619eb0843cca29e78fe11768ab8').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-4f85d619eb0843cca29e78fe11768ab8").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-4f85d619eb0843cca29e78fe11768ab8').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm377fb3aa093844ee939dcb3707233723); } else { mpForm4f85d619eb0843cca29e78fe11768ab8Check(); 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 mpmRecaptchaLoaded4f85d619eb0843cca29e78fe11768ab8() { captchaWidgetmpFrm377fb3aa093844ee939dcb3707233723 = grecaptcha.render('mpmRecaptchampFrm377fb3aa093844ee939dcb3707233723', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId4f85d619eb0843cca29e78fe11768ab8() { 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 mpmFormInit4f85d619eb0843cca29e78fe11768ab8 () { 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 finishedLoading4f85d619eb0843cca29e78fe11768ab8() { window.mpFormLoading = false; let container = document.getElementById('mpFrm377fb3aa093844ee939dcb3707233723'); if (!container) { mpFormmpFrm377fb3aa093844ee939dcb3707233723Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm377fb3aa093844ee939dcb3707233723'); return setTimeout(finishedLoading4f85d619eb0843cca29e78fe11768ab8, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-4f85d619eb0843cca29e78fe11768ab8").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-4f85d619eb0843cca29e78fe11768ab8").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-4f85d619eb0843cca29e78fe11768ab8").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-4f85d619eb0843cca29e78fe11768ab8").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-4f85d619eb0843cca29e78fe11768ab8").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=mpmRecaptchaLoaded4f85d619eb0843cca29e78fe11768ab8&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup4f85d619eb0843cca29e78fe11768ab8() { let popups = document.getElementById("mpform-4f85d619eb0843cca29e78fe11768ab8").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput4f85d619eb0843cca29e78fe11768ab8() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading4f85d619eb0843cca29e78fe11768ab8(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading4f85d619eb0843cca29e78fe11768ab8(); } } 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); mploadTelInput4f85d619eb0843cca29e78fe11768ab8(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit4f85d619eb0843cca29e78fe11768ab8(); } else { function waitForOtherFormsmpFrm377fb3aa093844ee939dcb3707233723() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit4f85d619eb0843cca29e78fe11768ab8(); } else { setTimeout(waitForOtherFormsmpFrm377fb3aa093844ee939dcb3707233723,300); } } waitForOtherFormsmpFrm377fb3aa093844ee939dcb3707233723(); }