var captchaWidgetmpFrm88372499f13e40b39346e03c81581a73; var mpCurrentScriptmpFrm88372499f13e40b39346e03c81581a73Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm88372499f13e40b39346e03c81581a73"; 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); mpFormmpFrm88372499f13e40b39346e03c81581a73Find(); } })(); function mpFormmpFrm88372499f13e40b39346e03c81581a73Find() { if(!mpCurrentScriptmpFrm88372499f13e40b39346e03c81581a73Container) return; if (mpCurrentScriptmpFrm88372499f13e40b39346e03c81581a73Container && mpCurrentScriptmpFrm88372499f13e40b39346e03c81581a73Container.nodeName && mpCurrentScriptmpFrm88372499f13e40b39346e03c81581a73Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm88372499f13e40b39346e03c81581a73" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm88372499f13e40b39346e03c81581a73Container.children).forEach(c => { if (c.id === "mpFrm88372499f13e40b39346e03c81581a73") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript08d1eaa5a6ca46718bb0560ad46ec3a6Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm88372499f13e40b39346e03c81581a73"; } } } } function mpForm08d1eaa5a6ca46718bb0560ad46ec3a6Check() { let checkBoxes = document.getElementById("mpform-08d1eaa5a6ca46718bb0560ad46ec3a6").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 mpForm08d1eaa5a6ca46718bb0560ad46ec3a6Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-08d1eaa5a6ca46718bb0560ad46ec3a6").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-08d1eaa5a6ca46718bb0560ad46ec3a6").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-08d1eaa5a6ca46718bb0560ad46ec3a6").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-08d1eaa5a6ca46718bb0560ad46ec3a6')), 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: getTrackingId08d1eaa5a6ca46718bb0560ad46ec3a6() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-08d1eaa5a6ca46718bb0560ad46ec3a6").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-08d1eaa5a6ca46718bb0560ad46ec3a6").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) { mpForm08d1eaa5a6ca46718bb0560ad46ec3a6Check(); 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-08d1eaa5a6ca46718bb0560ad46ec3a6').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-08d1eaa5a6ca46718bb0560ad46ec3a6").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-08d1eaa5a6ca46718bb0560ad46ec3a6').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm88372499f13e40b39346e03c81581a73); } else { mpForm08d1eaa5a6ca46718bb0560ad46ec3a6Check(); 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 mpmRecaptchaLoaded08d1eaa5a6ca46718bb0560ad46ec3a6() { captchaWidgetmpFrm88372499f13e40b39346e03c81581a73 = grecaptcha.render('mpmRecaptchampFrm88372499f13e40b39346e03c81581a73', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId08d1eaa5a6ca46718bb0560ad46ec3a6() { 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 mpmFormInit08d1eaa5a6ca46718bb0560ad46ec3a6 () { 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 finishedLoading08d1eaa5a6ca46718bb0560ad46ec3a6() { window.mpFormLoading = false; let container = document.getElementById('mpFrm88372499f13e40b39346e03c81581a73'); if (!container) { mpFormmpFrm88372499f13e40b39346e03c81581a73Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm88372499f13e40b39346e03c81581a73'); return setTimeout(finishedLoading08d1eaa5a6ca46718bb0560ad46ec3a6, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-08d1eaa5a6ca46718bb0560ad46ec3a6").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-08d1eaa5a6ca46718bb0560ad46ec3a6").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-08d1eaa5a6ca46718bb0560ad46ec3a6").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-08d1eaa5a6ca46718bb0560ad46ec3a6").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-08d1eaa5a6ca46718bb0560ad46ec3a6").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=mpmRecaptchaLoaded08d1eaa5a6ca46718bb0560ad46ec3a6&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup08d1eaa5a6ca46718bb0560ad46ec3a6() { let popups = document.getElementById("mpform-08d1eaa5a6ca46718bb0560ad46ec3a6").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput08d1eaa5a6ca46718bb0560ad46ec3a6() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading08d1eaa5a6ca46718bb0560ad46ec3a6(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading08d1eaa5a6ca46718bb0560ad46ec3a6(); } } 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); mploadTelInput08d1eaa5a6ca46718bb0560ad46ec3a6(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit08d1eaa5a6ca46718bb0560ad46ec3a6(); } else { function waitForOtherFormsmpFrm88372499f13e40b39346e03c81581a73() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit08d1eaa5a6ca46718bb0560ad46ec3a6(); } else { setTimeout(waitForOtherFormsmpFrm88372499f13e40b39346e03c81581a73,300); } } waitForOtherFormsmpFrm88372499f13e40b39346e03c81581a73(); }