var captchaWidgetmpFrm16b093dd9ef340debb3298b885ceb1a4; var mpCurrentScriptmpFrm16b093dd9ef340debb3298b885ceb1a4Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm16b093dd9ef340debb3298b885ceb1a4"; 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); mpFormmpFrm16b093dd9ef340debb3298b885ceb1a4Find(); } })(); function mpFormmpFrm16b093dd9ef340debb3298b885ceb1a4Find() { if(!mpCurrentScriptmpFrm16b093dd9ef340debb3298b885ceb1a4Container) return; if (mpCurrentScriptmpFrm16b093dd9ef340debb3298b885ceb1a4Container && mpCurrentScriptmpFrm16b093dd9ef340debb3298b885ceb1a4Container.nodeName && mpCurrentScriptmpFrm16b093dd9ef340debb3298b885ceb1a4Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm16b093dd9ef340debb3298b885ceb1a4" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm16b093dd9ef340debb3298b885ceb1a4Container.children).forEach(c => { if (c.id === "mpFrm16b093dd9ef340debb3298b885ceb1a4") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptd5753e09f3bc432c84d94dddd0164c7aContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm16b093dd9ef340debb3298b885ceb1a4"; } } } } function mpFormd5753e09f3bc432c84d94dddd0164c7aCheck() { let checkBoxes = document.getElementById("mpform-d5753e09f3bc432c84d94dddd0164c7a").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 mpFormd5753e09f3bc432c84d94dddd0164c7aSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-d5753e09f3bc432c84d94dddd0164c7a").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-d5753e09f3bc432c84d94dddd0164c7a").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-d5753e09f3bc432c84d94dddd0164c7a").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-d5753e09f3bc432c84d94dddd0164c7a')), 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: getTrackingIdd5753e09f3bc432c84d94dddd0164c7a() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-d5753e09f3bc432c84d94dddd0164c7a").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-d5753e09f3bc432c84d94dddd0164c7a").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) { mpFormd5753e09f3bc432c84d94dddd0164c7aCheck(); 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-d5753e09f3bc432c84d94dddd0164c7a').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-d5753e09f3bc432c84d94dddd0164c7a").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-d5753e09f3bc432c84d94dddd0164c7a').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm16b093dd9ef340debb3298b885ceb1a4); } else { mpFormd5753e09f3bc432c84d94dddd0164c7aCheck(); 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 mpmRecaptchaLoadedd5753e09f3bc432c84d94dddd0164c7a() { captchaWidgetmpFrm16b093dd9ef340debb3298b885ceb1a4 = grecaptcha.render('mpmRecaptchampFrm16b093dd9ef340debb3298b885ceb1a4', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdd5753e09f3bc432c84d94dddd0164c7a() { 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 mpmFormInitd5753e09f3bc432c84d94dddd0164c7a () { 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 finishedLoadingd5753e09f3bc432c84d94dddd0164c7a() { window.mpFormLoading = false; let container = document.getElementById('mpFrm16b093dd9ef340debb3298b885ceb1a4'); if (!container) { mpFormmpFrm16b093dd9ef340debb3298b885ceb1a4Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm16b093dd9ef340debb3298b885ceb1a4'); return setTimeout(finishedLoadingd5753e09f3bc432c84d94dddd0164c7a, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-d5753e09f3bc432c84d94dddd0164c7a").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-d5753e09f3bc432c84d94dddd0164c7a").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-d5753e09f3bc432c84d94dddd0164c7a").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-d5753e09f3bc432c84d94dddd0164c7a").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-d5753e09f3bc432c84d94dddd0164c7a").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=mpmRecaptchaLoadedd5753e09f3bc432c84d94dddd0164c7a&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupd5753e09f3bc432c84d94dddd0164c7a() { let popups = document.getElementById("mpform-d5753e09f3bc432c84d94dddd0164c7a").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputd5753e09f3bc432c84d94dddd0164c7a() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingd5753e09f3bc432c84d94dddd0164c7a(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingd5753e09f3bc432c84d94dddd0164c7a(); } } 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); mploadTelInputd5753e09f3bc432c84d94dddd0164c7a(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitd5753e09f3bc432c84d94dddd0164c7a(); } else { function waitForOtherFormsmpFrm16b093dd9ef340debb3298b885ceb1a4() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitd5753e09f3bc432c84d94dddd0164c7a(); } else { setTimeout(waitForOtherFormsmpFrm16b093dd9ef340debb3298b885ceb1a4,300); } } waitForOtherFormsmpFrm16b093dd9ef340debb3298b885ceb1a4(); }