var captchaWidgetmpFrm815f7a31be0c4c33b1ad90b2999b0597; var mpCurrentScriptmpFrm815f7a31be0c4c33b1ad90b2999b0597Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm815f7a31be0c4c33b1ad90b2999b0597"; 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); mpFormmpFrm815f7a31be0c4c33b1ad90b2999b0597Find(); } })(); function mpFormmpFrm815f7a31be0c4c33b1ad90b2999b0597Find() { if(!mpCurrentScriptmpFrm815f7a31be0c4c33b1ad90b2999b0597Container) return; if (mpCurrentScriptmpFrm815f7a31be0c4c33b1ad90b2999b0597Container && mpCurrentScriptmpFrm815f7a31be0c4c33b1ad90b2999b0597Container.nodeName && mpCurrentScriptmpFrm815f7a31be0c4c33b1ad90b2999b0597Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm815f7a31be0c4c33b1ad90b2999b0597" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm815f7a31be0c4c33b1ad90b2999b0597Container.children).forEach(c => { if (c.id === "mpFrm815f7a31be0c4c33b1ad90b2999b0597") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript0789b0c65e4f4ed2b3280147f039c614Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm815f7a31be0c4c33b1ad90b2999b0597"; } } } } function mpForm0789b0c65e4f4ed2b3280147f039c614Check() { let checkBoxes = document.getElementById("mpform-0789b0c65e4f4ed2b3280147f039c614").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 mpForm0789b0c65e4f4ed2b3280147f039c614Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-0789b0c65e4f4ed2b3280147f039c614").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-0789b0c65e4f4ed2b3280147f039c614").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-0789b0c65e4f4ed2b3280147f039c614").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-0789b0c65e4f4ed2b3280147f039c614')), 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: getTrackingId0789b0c65e4f4ed2b3280147f039c614() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-0789b0c65e4f4ed2b3280147f039c614").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-0789b0c65e4f4ed2b3280147f039c614").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) { mpForm0789b0c65e4f4ed2b3280147f039c614Check(); 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-0789b0c65e4f4ed2b3280147f039c614').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-0789b0c65e4f4ed2b3280147f039c614").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-0789b0c65e4f4ed2b3280147f039c614').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm815f7a31be0c4c33b1ad90b2999b0597); } else { mpForm0789b0c65e4f4ed2b3280147f039c614Check(); 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 mpmRecaptchaLoaded0789b0c65e4f4ed2b3280147f039c614() { captchaWidgetmpFrm815f7a31be0c4c33b1ad90b2999b0597 = grecaptcha.render('mpmRecaptchampFrm815f7a31be0c4c33b1ad90b2999b0597', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId0789b0c65e4f4ed2b3280147f039c614() { 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 mpmFormInit0789b0c65e4f4ed2b3280147f039c614 () { 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 finishedLoading0789b0c65e4f4ed2b3280147f039c614() { window.mpFormLoading = false; let container = document.getElementById('mpFrm815f7a31be0c4c33b1ad90b2999b0597'); if (!container) { mpFormmpFrm815f7a31be0c4c33b1ad90b2999b0597Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm815f7a31be0c4c33b1ad90b2999b0597'); return setTimeout(finishedLoading0789b0c65e4f4ed2b3280147f039c614, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-0789b0c65e4f4ed2b3280147f039c614").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-0789b0c65e4f4ed2b3280147f039c614").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-0789b0c65e4f4ed2b3280147f039c614").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-0789b0c65e4f4ed2b3280147f039c614").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-0789b0c65e4f4ed2b3280147f039c614").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=mpmRecaptchaLoaded0789b0c65e4f4ed2b3280147f039c614&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup0789b0c65e4f4ed2b3280147f039c614() { let popups = document.getElementById("mpform-0789b0c65e4f4ed2b3280147f039c614").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput0789b0c65e4f4ed2b3280147f039c614() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading0789b0c65e4f4ed2b3280147f039c614(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading0789b0c65e4f4ed2b3280147f039c614(); } } 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); mploadTelInput0789b0c65e4f4ed2b3280147f039c614(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit0789b0c65e4f4ed2b3280147f039c614(); } else { function waitForOtherFormsmpFrm815f7a31be0c4c33b1ad90b2999b0597() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit0789b0c65e4f4ed2b3280147f039c614(); } else { setTimeout(waitForOtherFormsmpFrm815f7a31be0c4c33b1ad90b2999b0597,300); } } waitForOtherFormsmpFrm815f7a31be0c4c33b1ad90b2999b0597(); }