var captchaWidgetmpFrm31b11ce0c27e418c80546c637aa001a0; var mpCurrentScriptmpFrm31b11ce0c27e418c80546c637aa001a0Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm31b11ce0c27e418c80546c637aa001a0"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41943"); 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); mpFormmpFrm31b11ce0c27e418c80546c637aa001a0Find(); } })(); function mpFormmpFrm31b11ce0c27e418c80546c637aa001a0Find() { if(!mpCurrentScriptmpFrm31b11ce0c27e418c80546c637aa001a0Container) return; if (mpCurrentScriptmpFrm31b11ce0c27e418c80546c637aa001a0Container && mpCurrentScriptmpFrm31b11ce0c27e418c80546c637aa001a0Container.nodeName && mpCurrentScriptmpFrm31b11ce0c27e418c80546c637aa001a0Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm31b11ce0c27e418c80546c637aa001a0" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm31b11ce0c27e418c80546c637aa001a0Container.children).forEach(c => { if (c.id === "mpFrm31b11ce0c27e418c80546c637aa001a0") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptdf681e11bd134f0eb8692f5534a299a2Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm31b11ce0c27e418c80546c637aa001a0"; } } } } function mpFormdf681e11bd134f0eb8692f5534a299a2Check() { let checkBoxes = document.getElementById("mpform-df681e11bd134f0eb8692f5534a299a2").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 mpFormdf681e11bd134f0eb8692f5534a299a2Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-df681e11bd134f0eb8692f5534a299a2").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-df681e11bd134f0eb8692f5534a299a2").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-df681e11bd134f0eb8692f5534a299a2").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-df681e11bd134f0eb8692f5534a299a2')), 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: getTrackingIddf681e11bd134f0eb8692f5534a299a2() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-df681e11bd134f0eb8692f5534a299a2").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-df681e11bd134f0eb8692f5534a299a2").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=41943", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpFormdf681e11bd134f0eb8692f5534a299a2Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); try { document.getElementById('mpform-df681e11bd134f0eb8692f5534a299a2').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-df681e11bd134f0eb8692f5534a299a2").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-df681e11bd134f0eb8692f5534a299a2').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm31b11ce0c27e418c80546c637aa001a0); } else { mpFormdf681e11bd134f0eb8692f5534a299a2Check(); 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 mpmRecaptchaLoadeddf681e11bd134f0eb8692f5534a299a2() { captchaWidgetmpFrm31b11ce0c27e418c80546c637aa001a0 = grecaptcha.render('mpmRecaptchampFrm31b11ce0c27e418c80546c637aa001a0', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIddf681e11bd134f0eb8692f5534a299a2() { 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 mpmFormInitdf681e11bd134f0eb8692f5534a299a2 () { 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 finishedLoadingdf681e11bd134f0eb8692f5534a299a2() { window.mpFormLoading = false; let container = document.getElementById('mpFrm31b11ce0c27e418c80546c637aa001a0'); if (!container) { mpFormmpFrm31b11ce0c27e418c80546c637aa001a0Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm31b11ce0c27e418c80546c637aa001a0'); return setTimeout(finishedLoadingdf681e11bd134f0eb8692f5534a299a2, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-df681e11bd134f0eb8692f5534a299a2").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-df681e11bd134f0eb8692f5534a299a2").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-df681e11bd134f0eb8692f5534a299a2").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-df681e11bd134f0eb8692f5534a299a2").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-df681e11bd134f0eb8692f5534a299a2").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=mpmRecaptchaLoadeddf681e11bd134f0eb8692f5534a299a2&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupdf681e11bd134f0eb8692f5534a299a2() { let popups = document.getElementById("mpform-df681e11bd134f0eb8692f5534a299a2").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputdf681e11bd134f0eb8692f5534a299a2() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingdf681e11bd134f0eb8692f5534a299a2(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingdf681e11bd134f0eb8692f5534a299a2(); } } 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); mploadTelInputdf681e11bd134f0eb8692f5534a299a2(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitdf681e11bd134f0eb8692f5534a299a2(); } else { function waitForOtherFormsmpFrm31b11ce0c27e418c80546c637aa001a0() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitdf681e11bd134f0eb8692f5534a299a2(); } else { setTimeout(waitForOtherFormsmpFrm31b11ce0c27e418c80546c637aa001a0,300); } } waitForOtherFormsmpFrm31b11ce0c27e418c80546c637aa001a0(); }