var captchaWidgetmpFrmbfab6f1056db49048b610072aa771b28; var mpCurrentScriptmpFrmbfab6f1056db49048b610072aa771b28Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmbfab6f1056db49048b610072aa771b28"; 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); mpFormmpFrmbfab6f1056db49048b610072aa771b28Find(); } })(); function mpFormmpFrmbfab6f1056db49048b610072aa771b28Find() { if(!mpCurrentScriptmpFrmbfab6f1056db49048b610072aa771b28Container) return; if (mpCurrentScriptmpFrmbfab6f1056db49048b610072aa771b28Container && mpCurrentScriptmpFrmbfab6f1056db49048b610072aa771b28Container.nodeName && mpCurrentScriptmpFrmbfab6f1056db49048b610072aa771b28Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmbfab6f1056db49048b610072aa771b28" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmbfab6f1056db49048b610072aa771b28Container.children).forEach(c => { if (c.id === "mpFrmbfab6f1056db49048b610072aa771b28") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript86e5b619fca540c9b35d4a8c0fc95712Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmbfab6f1056db49048b610072aa771b28"; } } } } function mpForm86e5b619fca540c9b35d4a8c0fc95712Check() { let checkBoxes = document.getElementById("mpform-86e5b619fca540c9b35d4a8c0fc95712").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 mpForm86e5b619fca540c9b35d4a8c0fc95712Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-86e5b619fca540c9b35d4a8c0fc95712").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-86e5b619fca540c9b35d4a8c0fc95712").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-86e5b619fca540c9b35d4a8c0fc95712").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-86e5b619fca540c9b35d4a8c0fc95712')), 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: getTrackingId86e5b619fca540c9b35d4a8c0fc95712() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-86e5b619fca540c9b35d4a8c0fc95712").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-86e5b619fca540c9b35d4a8c0fc95712").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) { mpForm86e5b619fca540c9b35d4a8c0fc95712Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-86e5b619fca540c9b35d4a8c0fc95712').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-86e5b619fca540c9b35d4a8c0fc95712").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-86e5b619fca540c9b35d4a8c0fc95712').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmbfab6f1056db49048b610072aa771b28); } else { mpForm86e5b619fca540c9b35d4a8c0fc95712Check(); 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 mpmRecaptchaLoaded86e5b619fca540c9b35d4a8c0fc95712() { captchaWidgetmpFrmbfab6f1056db49048b610072aa771b28 = grecaptcha.render('mpmRecaptchampFrmbfab6f1056db49048b610072aa771b28', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId86e5b619fca540c9b35d4a8c0fc95712() { 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 mpmFormInit86e5b619fca540c9b35d4a8c0fc95712 () { 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 finishedLoading86e5b619fca540c9b35d4a8c0fc95712() { window.mpFormLoading = false; let container = document.getElementById('mpFrmbfab6f1056db49048b610072aa771b28'); if (!container) { mpFormmpFrmbfab6f1056db49048b610072aa771b28Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmbfab6f1056db49048b610072aa771b28'); return setTimeout(finishedLoading86e5b619fca540c9b35d4a8c0fc95712, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-86e5b619fca540c9b35d4a8c0fc95712").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-86e5b619fca540c9b35d4a8c0fc95712").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-86e5b619fca540c9b35d4a8c0fc95712").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-86e5b619fca540c9b35d4a8c0fc95712").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-86e5b619fca540c9b35d4a8c0fc95712").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=mpmRecaptchaLoaded86e5b619fca540c9b35d4a8c0fc95712&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup86e5b619fca540c9b35d4a8c0fc95712() { let popups = document.getElementById("mpform-86e5b619fca540c9b35d4a8c0fc95712").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput86e5b619fca540c9b35d4a8c0fc95712() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading86e5b619fca540c9b35d4a8c0fc95712(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading86e5b619fca540c9b35d4a8c0fc95712(); } } 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); mploadTelInput86e5b619fca540c9b35d4a8c0fc95712(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit86e5b619fca540c9b35d4a8c0fc95712(); } else { function waitForOtherFormsmpFrmbfab6f1056db49048b610072aa771b28() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit86e5b619fca540c9b35d4a8c0fc95712(); } else { setTimeout(waitForOtherFormsmpFrmbfab6f1056db49048b610072aa771b28,300); } } waitForOtherFormsmpFrmbfab6f1056db49048b610072aa771b28(); }