var captchaWidgetmpFrmb7fb9b3176c8444bb0a95d138d7fbcf7; var mpCurrentScriptmpFrmb7fb9b3176c8444bb0a95d138d7fbcf7Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmb7fb9b3176c8444bb0a95d138d7fbcf7"; 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); mpFormmpFrmb7fb9b3176c8444bb0a95d138d7fbcf7Find(); } })(); function mpFormmpFrmb7fb9b3176c8444bb0a95d138d7fbcf7Find() { if(!mpCurrentScriptmpFrmb7fb9b3176c8444bb0a95d138d7fbcf7Container) return; if (mpCurrentScriptmpFrmb7fb9b3176c8444bb0a95d138d7fbcf7Container && mpCurrentScriptmpFrmb7fb9b3176c8444bb0a95d138d7fbcf7Container.nodeName && mpCurrentScriptmpFrmb7fb9b3176c8444bb0a95d138d7fbcf7Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmb7fb9b3176c8444bb0a95d138d7fbcf7" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmb7fb9b3176c8444bb0a95d138d7fbcf7Container.children).forEach(c => { if (c.id === "mpFrmb7fb9b3176c8444bb0a95d138d7fbcf7") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript385cfc9d40bb44eab078fe8e1488fe5dContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmb7fb9b3176c8444bb0a95d138d7fbcf7"; } } } } function mpForm385cfc9d40bb44eab078fe8e1488fe5dCheck() { let checkBoxes = document.getElementById("mpform-385cfc9d40bb44eab078fe8e1488fe5d").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 mpForm385cfc9d40bb44eab078fe8e1488fe5dSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-385cfc9d40bb44eab078fe8e1488fe5d").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-385cfc9d40bb44eab078fe8e1488fe5d").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-385cfc9d40bb44eab078fe8e1488fe5d").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-385cfc9d40bb44eab078fe8e1488fe5d')), 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: getTrackingId385cfc9d40bb44eab078fe8e1488fe5d() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-385cfc9d40bb44eab078fe8e1488fe5d").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-385cfc9d40bb44eab078fe8e1488fe5d").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) { mpForm385cfc9d40bb44eab078fe8e1488fe5dCheck(); 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-385cfc9d40bb44eab078fe8e1488fe5d').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-385cfc9d40bb44eab078fe8e1488fe5d").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-385cfc9d40bb44eab078fe8e1488fe5d').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmb7fb9b3176c8444bb0a95d138d7fbcf7); } else { mpForm385cfc9d40bb44eab078fe8e1488fe5dCheck(); 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 mpmRecaptchaLoaded385cfc9d40bb44eab078fe8e1488fe5d() { captchaWidgetmpFrmb7fb9b3176c8444bb0a95d138d7fbcf7 = grecaptcha.render('mpmRecaptchampFrmb7fb9b3176c8444bb0a95d138d7fbcf7', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId385cfc9d40bb44eab078fe8e1488fe5d() { 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 mpmFormInit385cfc9d40bb44eab078fe8e1488fe5d () { 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 finishedLoading385cfc9d40bb44eab078fe8e1488fe5d() { window.mpFormLoading = false; let container = document.getElementById('mpFrmb7fb9b3176c8444bb0a95d138d7fbcf7'); if (!container) { mpFormmpFrmb7fb9b3176c8444bb0a95d138d7fbcf7Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmb7fb9b3176c8444bb0a95d138d7fbcf7'); return setTimeout(finishedLoading385cfc9d40bb44eab078fe8e1488fe5d, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-385cfc9d40bb44eab078fe8e1488fe5d").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-385cfc9d40bb44eab078fe8e1488fe5d").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-385cfc9d40bb44eab078fe8e1488fe5d").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-385cfc9d40bb44eab078fe8e1488fe5d").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-385cfc9d40bb44eab078fe8e1488fe5d").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=mpmRecaptchaLoaded385cfc9d40bb44eab078fe8e1488fe5d&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup385cfc9d40bb44eab078fe8e1488fe5d() { let popups = document.getElementById("mpform-385cfc9d40bb44eab078fe8e1488fe5d").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput385cfc9d40bb44eab078fe8e1488fe5d() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading385cfc9d40bb44eab078fe8e1488fe5d(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading385cfc9d40bb44eab078fe8e1488fe5d(); } } 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); mploadTelInput385cfc9d40bb44eab078fe8e1488fe5d(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit385cfc9d40bb44eab078fe8e1488fe5d(); } else { function waitForOtherFormsmpFrmb7fb9b3176c8444bb0a95d138d7fbcf7() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit385cfc9d40bb44eab078fe8e1488fe5d(); } else { setTimeout(waitForOtherFormsmpFrmb7fb9b3176c8444bb0a95d138d7fbcf7,300); } } waitForOtherFormsmpFrmb7fb9b3176c8444bb0a95d138d7fbcf7(); }