var captchaWidgetmpFrm45023f9f009a45e9b9400a9e3c7f545c; var mpCurrentScriptmpFrm45023f9f009a45e9b9400a9e3c7f545cContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm45023f9f009a45e9b9400a9e3c7f545c"; 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); mpFormmpFrm45023f9f009a45e9b9400a9e3c7f545cFind(); } })(); function mpFormmpFrm45023f9f009a45e9b9400a9e3c7f545cFind() { if(!mpCurrentScriptmpFrm45023f9f009a45e9b9400a9e3c7f545cContainer) return; if (mpCurrentScriptmpFrm45023f9f009a45e9b9400a9e3c7f545cContainer && mpCurrentScriptmpFrm45023f9f009a45e9b9400a9e3c7f545cContainer.nodeName && mpCurrentScriptmpFrm45023f9f009a45e9b9400a9e3c7f545cContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm45023f9f009a45e9b9400a9e3c7f545c" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm45023f9f009a45e9b9400a9e3c7f545cContainer.children).forEach(c => { if (c.id === "mpFrm45023f9f009a45e9b9400a9e3c7f545c") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript44161e0b52964a0088daf5634233fec2Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm45023f9f009a45e9b9400a9e3c7f545c"; } } } } function mpForm44161e0b52964a0088daf5634233fec2Check() { let checkBoxes = document.getElementById("mpform-44161e0b52964a0088daf5634233fec2").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 mpForm44161e0b52964a0088daf5634233fec2Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-44161e0b52964a0088daf5634233fec2").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-44161e0b52964a0088daf5634233fec2").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-44161e0b52964a0088daf5634233fec2").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-44161e0b52964a0088daf5634233fec2')), 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: getTrackingId44161e0b52964a0088daf5634233fec2() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-44161e0b52964a0088daf5634233fec2").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-44161e0b52964a0088daf5634233fec2").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) { mpForm44161e0b52964a0088daf5634233fec2Check(); 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-44161e0b52964a0088daf5634233fec2').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-44161e0b52964a0088daf5634233fec2").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-44161e0b52964a0088daf5634233fec2').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm45023f9f009a45e9b9400a9e3c7f545c); } else { mpForm44161e0b52964a0088daf5634233fec2Check(); 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 mpmRecaptchaLoaded44161e0b52964a0088daf5634233fec2() { captchaWidgetmpFrm45023f9f009a45e9b9400a9e3c7f545c = grecaptcha.render('mpmRecaptchampFrm45023f9f009a45e9b9400a9e3c7f545c', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId44161e0b52964a0088daf5634233fec2() { 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 mpmFormInit44161e0b52964a0088daf5634233fec2 () { 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 finishedLoading44161e0b52964a0088daf5634233fec2() { window.mpFormLoading = false; let container = document.getElementById('mpFrm45023f9f009a45e9b9400a9e3c7f545c'); if (!container) { mpFormmpFrm45023f9f009a45e9b9400a9e3c7f545cFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm45023f9f009a45e9b9400a9e3c7f545c'); return setTimeout(finishedLoading44161e0b52964a0088daf5634233fec2, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-44161e0b52964a0088daf5634233fec2").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-44161e0b52964a0088daf5634233fec2").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-44161e0b52964a0088daf5634233fec2").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-44161e0b52964a0088daf5634233fec2").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-44161e0b52964a0088daf5634233fec2").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=mpmRecaptchaLoaded44161e0b52964a0088daf5634233fec2&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup44161e0b52964a0088daf5634233fec2() { let popups = document.getElementById("mpform-44161e0b52964a0088daf5634233fec2").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput44161e0b52964a0088daf5634233fec2() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading44161e0b52964a0088daf5634233fec2(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading44161e0b52964a0088daf5634233fec2(); } } 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); mploadTelInput44161e0b52964a0088daf5634233fec2(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit44161e0b52964a0088daf5634233fec2(); } else { function waitForOtherFormsmpFrm45023f9f009a45e9b9400a9e3c7f545c() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit44161e0b52964a0088daf5634233fec2(); } else { setTimeout(waitForOtherFormsmpFrm45023f9f009a45e9b9400a9e3c7f545c,300); } } waitForOtherFormsmpFrm45023f9f009a45e9b9400a9e3c7f545c(); }