var captchaWidgetmpFrmce7cb877440a4b9792bec09a9274c819; var mpCurrentScriptmpFrmce7cb877440a4b9792bec09a9274c819Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmce7cb877440a4b9792bec09a9274c819"; 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); mpFormmpFrmce7cb877440a4b9792bec09a9274c819Find(); } })(); function mpFormmpFrmce7cb877440a4b9792bec09a9274c819Find() { if(!mpCurrentScriptmpFrmce7cb877440a4b9792bec09a9274c819Container) return; if (mpCurrentScriptmpFrmce7cb877440a4b9792bec09a9274c819Container && mpCurrentScriptmpFrmce7cb877440a4b9792bec09a9274c819Container.nodeName && mpCurrentScriptmpFrmce7cb877440a4b9792bec09a9274c819Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmce7cb877440a4b9792bec09a9274c819" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmce7cb877440a4b9792bec09a9274c819Container.children).forEach(c => { if (c.id === "mpFrmce7cb877440a4b9792bec09a9274c819") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript698a4e5e99d34a1f8b66d40249e05b49Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmce7cb877440a4b9792bec09a9274c819"; } } } } function mpForm698a4e5e99d34a1f8b66d40249e05b49Check() { let checkBoxes = document.getElementById("mpform-698a4e5e99d34a1f8b66d40249e05b49").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 mpForm698a4e5e99d34a1f8b66d40249e05b49Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-698a4e5e99d34a1f8b66d40249e05b49").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-698a4e5e99d34a1f8b66d40249e05b49").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-698a4e5e99d34a1f8b66d40249e05b49").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-698a4e5e99d34a1f8b66d40249e05b49')), 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: getTrackingId698a4e5e99d34a1f8b66d40249e05b49() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-698a4e5e99d34a1f8b66d40249e05b49").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-698a4e5e99d34a1f8b66d40249e05b49").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) { mpForm698a4e5e99d34a1f8b66d40249e05b49Check(); 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-698a4e5e99d34a1f8b66d40249e05b49').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-698a4e5e99d34a1f8b66d40249e05b49").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-698a4e5e99d34a1f8b66d40249e05b49').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmce7cb877440a4b9792bec09a9274c819); } else { mpForm698a4e5e99d34a1f8b66d40249e05b49Check(); 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 mpmRecaptchaLoaded698a4e5e99d34a1f8b66d40249e05b49() { captchaWidgetmpFrmce7cb877440a4b9792bec09a9274c819 = grecaptcha.render('mpmRecaptchampFrmce7cb877440a4b9792bec09a9274c819', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId698a4e5e99d34a1f8b66d40249e05b49() { 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 mpmFormInit698a4e5e99d34a1f8b66d40249e05b49 () { 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 finishedLoading698a4e5e99d34a1f8b66d40249e05b49() { window.mpFormLoading = false; let container = document.getElementById('mpFrmce7cb877440a4b9792bec09a9274c819'); if (!container) { mpFormmpFrmce7cb877440a4b9792bec09a9274c819Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmce7cb877440a4b9792bec09a9274c819'); return setTimeout(finishedLoading698a4e5e99d34a1f8b66d40249e05b49, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-698a4e5e99d34a1f8b66d40249e05b49").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-698a4e5e99d34a1f8b66d40249e05b49").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-698a4e5e99d34a1f8b66d40249e05b49").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-698a4e5e99d34a1f8b66d40249e05b49").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-698a4e5e99d34a1f8b66d40249e05b49").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=mpmRecaptchaLoaded698a4e5e99d34a1f8b66d40249e05b49&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup698a4e5e99d34a1f8b66d40249e05b49() { let popups = document.getElementById("mpform-698a4e5e99d34a1f8b66d40249e05b49").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput698a4e5e99d34a1f8b66d40249e05b49() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading698a4e5e99d34a1f8b66d40249e05b49(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading698a4e5e99d34a1f8b66d40249e05b49(); } } 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); mploadTelInput698a4e5e99d34a1f8b66d40249e05b49(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit698a4e5e99d34a1f8b66d40249e05b49(); } else { function waitForOtherFormsmpFrmce7cb877440a4b9792bec09a9274c819() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit698a4e5e99d34a1f8b66d40249e05b49(); } else { setTimeout(waitForOtherFormsmpFrmce7cb877440a4b9792bec09a9274c819,300); } } waitForOtherFormsmpFrmce7cb877440a4b9792bec09a9274c819(); }