var captchaWidgetmpFrmb08233bf5e984fa7a195cae11d381acb; var mpCurrentScriptmpFrmb08233bf5e984fa7a195cae11d381acbContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmb08233bf5e984fa7a195cae11d381acb"; 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); mpFormmpFrmb08233bf5e984fa7a195cae11d381acbFind(); } })(); function mpFormmpFrmb08233bf5e984fa7a195cae11d381acbFind() { if(!mpCurrentScriptmpFrmb08233bf5e984fa7a195cae11d381acbContainer) return; if (mpCurrentScriptmpFrmb08233bf5e984fa7a195cae11d381acbContainer && mpCurrentScriptmpFrmb08233bf5e984fa7a195cae11d381acbContainer.nodeName && mpCurrentScriptmpFrmb08233bf5e984fa7a195cae11d381acbContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmb08233bf5e984fa7a195cae11d381acb" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmb08233bf5e984fa7a195cae11d381acbContainer.children).forEach(c => { if (c.id === "mpFrmb08233bf5e984fa7a195cae11d381acb") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript75be56c737d64f668eb5dc8e5b36a654Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmb08233bf5e984fa7a195cae11d381acb"; } } } } function mpForm75be56c737d64f668eb5dc8e5b36a654Check() { let checkBoxes = document.getElementById("mpform-75be56c737d64f668eb5dc8e5b36a654").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 mpForm75be56c737d64f668eb5dc8e5b36a654Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-75be56c737d64f668eb5dc8e5b36a654").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-75be56c737d64f668eb5dc8e5b36a654").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-75be56c737d64f668eb5dc8e5b36a654").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-75be56c737d64f668eb5dc8e5b36a654')), 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: getTrackingId75be56c737d64f668eb5dc8e5b36a654() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-75be56c737d64f668eb5dc8e5b36a654").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-75be56c737d64f668eb5dc8e5b36a654").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) { mpForm75be56c737d64f668eb5dc8e5b36a654Check(); 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-75be56c737d64f668eb5dc8e5b36a654').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-75be56c737d64f668eb5dc8e5b36a654").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-75be56c737d64f668eb5dc8e5b36a654').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmb08233bf5e984fa7a195cae11d381acb); } else { mpForm75be56c737d64f668eb5dc8e5b36a654Check(); 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 mpmRecaptchaLoaded75be56c737d64f668eb5dc8e5b36a654() { captchaWidgetmpFrmb08233bf5e984fa7a195cae11d381acb = grecaptcha.render('mpmRecaptchampFrmb08233bf5e984fa7a195cae11d381acb', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId75be56c737d64f668eb5dc8e5b36a654() { 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 mpmFormInit75be56c737d64f668eb5dc8e5b36a654 () { 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 finishedLoading75be56c737d64f668eb5dc8e5b36a654() { window.mpFormLoading = false; let container = document.getElementById('mpFrmb08233bf5e984fa7a195cae11d381acb'); if (!container) { mpFormmpFrmb08233bf5e984fa7a195cae11d381acbFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmb08233bf5e984fa7a195cae11d381acb'); return setTimeout(finishedLoading75be56c737d64f668eb5dc8e5b36a654, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-75be56c737d64f668eb5dc8e5b36a654").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-75be56c737d64f668eb5dc8e5b36a654").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-75be56c737d64f668eb5dc8e5b36a654").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-75be56c737d64f668eb5dc8e5b36a654").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-75be56c737d64f668eb5dc8e5b36a654").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=mpmRecaptchaLoaded75be56c737d64f668eb5dc8e5b36a654&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup75be56c737d64f668eb5dc8e5b36a654() { let popups = document.getElementById("mpform-75be56c737d64f668eb5dc8e5b36a654").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput75be56c737d64f668eb5dc8e5b36a654() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading75be56c737d64f668eb5dc8e5b36a654(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading75be56c737d64f668eb5dc8e5b36a654(); } } 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); mploadTelInput75be56c737d64f668eb5dc8e5b36a654(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit75be56c737d64f668eb5dc8e5b36a654(); } else { function waitForOtherFormsmpFrmb08233bf5e984fa7a195cae11d381acb() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit75be56c737d64f668eb5dc8e5b36a654(); } else { setTimeout(waitForOtherFormsmpFrmb08233bf5e984fa7a195cae11d381acb,300); } } waitForOtherFormsmpFrmb08233bf5e984fa7a195cae11d381acb(); }