var captchaWidgetmpFrmaab8c3fd4936417587e66ae6ca4374ca; var mpCurrentScriptmpFrmaab8c3fd4936417587e66ae6ca4374caContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmaab8c3fd4936417587e66ae6ca4374ca"; 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); mpFormmpFrmaab8c3fd4936417587e66ae6ca4374caFind(); } })(); function mpFormmpFrmaab8c3fd4936417587e66ae6ca4374caFind() { if(!mpCurrentScriptmpFrmaab8c3fd4936417587e66ae6ca4374caContainer) return; if (mpCurrentScriptmpFrmaab8c3fd4936417587e66ae6ca4374caContainer && mpCurrentScriptmpFrmaab8c3fd4936417587e66ae6ca4374caContainer.nodeName && mpCurrentScriptmpFrmaab8c3fd4936417587e66ae6ca4374caContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmaab8c3fd4936417587e66ae6ca4374ca" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmaab8c3fd4936417587e66ae6ca4374caContainer.children).forEach(c => { if (c.id === "mpFrmaab8c3fd4936417587e66ae6ca4374ca") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptbd88c0666bd54374b11088a79d623883Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmaab8c3fd4936417587e66ae6ca4374ca"; } } } } function mpFormbd88c0666bd54374b11088a79d623883Check() { let checkBoxes = document.getElementById("mpform-bd88c0666bd54374b11088a79d623883").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 mpFormbd88c0666bd54374b11088a79d623883Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-bd88c0666bd54374b11088a79d623883").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-bd88c0666bd54374b11088a79d623883").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-bd88c0666bd54374b11088a79d623883").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-bd88c0666bd54374b11088a79d623883')), 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: getTrackingIdbd88c0666bd54374b11088a79d623883() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-bd88c0666bd54374b11088a79d623883").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-bd88c0666bd54374b11088a79d623883").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) { mpFormbd88c0666bd54374b11088a79d623883Check(); 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-bd88c0666bd54374b11088a79d623883').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-bd88c0666bd54374b11088a79d623883").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-bd88c0666bd54374b11088a79d623883').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmaab8c3fd4936417587e66ae6ca4374ca); } else { mpFormbd88c0666bd54374b11088a79d623883Check(); 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 mpmRecaptchaLoadedbd88c0666bd54374b11088a79d623883() { captchaWidgetmpFrmaab8c3fd4936417587e66ae6ca4374ca = grecaptcha.render('mpmRecaptchampFrmaab8c3fd4936417587e66ae6ca4374ca', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdbd88c0666bd54374b11088a79d623883() { 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 mpmFormInitbd88c0666bd54374b11088a79d623883 () { 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 finishedLoadingbd88c0666bd54374b11088a79d623883() { window.mpFormLoading = false; let container = document.getElementById('mpFrmaab8c3fd4936417587e66ae6ca4374ca'); if (!container) { mpFormmpFrmaab8c3fd4936417587e66ae6ca4374caFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmaab8c3fd4936417587e66ae6ca4374ca'); return setTimeout(finishedLoadingbd88c0666bd54374b11088a79d623883, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-bd88c0666bd54374b11088a79d623883").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-bd88c0666bd54374b11088a79d623883").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-bd88c0666bd54374b11088a79d623883").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-bd88c0666bd54374b11088a79d623883").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-bd88c0666bd54374b11088a79d623883").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=mpmRecaptchaLoadedbd88c0666bd54374b11088a79d623883&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupbd88c0666bd54374b11088a79d623883() { let popups = document.getElementById("mpform-bd88c0666bd54374b11088a79d623883").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputbd88c0666bd54374b11088a79d623883() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingbd88c0666bd54374b11088a79d623883(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingbd88c0666bd54374b11088a79d623883(); } } 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); mploadTelInputbd88c0666bd54374b11088a79d623883(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitbd88c0666bd54374b11088a79d623883(); } else { function waitForOtherFormsmpFrmaab8c3fd4936417587e66ae6ca4374ca() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitbd88c0666bd54374b11088a79d623883(); } else { setTimeout(waitForOtherFormsmpFrmaab8c3fd4936417587e66ae6ca4374ca,300); } } waitForOtherFormsmpFrmaab8c3fd4936417587e66ae6ca4374ca(); }