var captchaWidgetmpFrm8af8666e76e64576adccca73971d350b; var mpCurrentScriptmpFrm8af8666e76e64576adccca73971d350bContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm8af8666e76e64576adccca73971d350b"; 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); mpFormmpFrm8af8666e76e64576adccca73971d350bFind(); } })(); function mpFormmpFrm8af8666e76e64576adccca73971d350bFind() { if(!mpCurrentScriptmpFrm8af8666e76e64576adccca73971d350bContainer) return; if (mpCurrentScriptmpFrm8af8666e76e64576adccca73971d350bContainer && mpCurrentScriptmpFrm8af8666e76e64576adccca73971d350bContainer.nodeName && mpCurrentScriptmpFrm8af8666e76e64576adccca73971d350bContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm8af8666e76e64576adccca73971d350b" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm8af8666e76e64576adccca73971d350bContainer.children).forEach(c => { if (c.id === "mpFrm8af8666e76e64576adccca73971d350b") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript0bfbf8c876d64666b43365bd5fb4cbfdContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm8af8666e76e64576adccca73971d350b"; } } } } function mpForm0bfbf8c876d64666b43365bd5fb4cbfdCheck() { let checkBoxes = document.getElementById("mpform-0bfbf8c876d64666b43365bd5fb4cbfd").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 mpForm0bfbf8c876d64666b43365bd5fb4cbfdSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-0bfbf8c876d64666b43365bd5fb4cbfd").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-0bfbf8c876d64666b43365bd5fb4cbfd").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-0bfbf8c876d64666b43365bd5fb4cbfd").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-0bfbf8c876d64666b43365bd5fb4cbfd')), 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: getTrackingId0bfbf8c876d64666b43365bd5fb4cbfd() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-0bfbf8c876d64666b43365bd5fb4cbfd").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-0bfbf8c876d64666b43365bd5fb4cbfd").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) { mpForm0bfbf8c876d64666b43365bd5fb4cbfdCheck(); 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-0bfbf8c876d64666b43365bd5fb4cbfd').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-0bfbf8c876d64666b43365bd5fb4cbfd").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-0bfbf8c876d64666b43365bd5fb4cbfd').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm8af8666e76e64576adccca73971d350b); } else { mpForm0bfbf8c876d64666b43365bd5fb4cbfdCheck(); 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 mpmRecaptchaLoaded0bfbf8c876d64666b43365bd5fb4cbfd() { captchaWidgetmpFrm8af8666e76e64576adccca73971d350b = grecaptcha.render('mpmRecaptchampFrm8af8666e76e64576adccca73971d350b', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId0bfbf8c876d64666b43365bd5fb4cbfd() { 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 mpmFormInit0bfbf8c876d64666b43365bd5fb4cbfd () { 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 finishedLoading0bfbf8c876d64666b43365bd5fb4cbfd() { window.mpFormLoading = false; let container = document.getElementById('mpFrm8af8666e76e64576adccca73971d350b'); if (!container) { mpFormmpFrm8af8666e76e64576adccca73971d350bFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm8af8666e76e64576adccca73971d350b'); return setTimeout(finishedLoading0bfbf8c876d64666b43365bd5fb4cbfd, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-0bfbf8c876d64666b43365bd5fb4cbfd").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-0bfbf8c876d64666b43365bd5fb4cbfd").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-0bfbf8c876d64666b43365bd5fb4cbfd").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-0bfbf8c876d64666b43365bd5fb4cbfd").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-0bfbf8c876d64666b43365bd5fb4cbfd").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=mpmRecaptchaLoaded0bfbf8c876d64666b43365bd5fb4cbfd&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup0bfbf8c876d64666b43365bd5fb4cbfd() { let popups = document.getElementById("mpform-0bfbf8c876d64666b43365bd5fb4cbfd").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput0bfbf8c876d64666b43365bd5fb4cbfd() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading0bfbf8c876d64666b43365bd5fb4cbfd(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading0bfbf8c876d64666b43365bd5fb4cbfd(); } } 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); mploadTelInput0bfbf8c876d64666b43365bd5fb4cbfd(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit0bfbf8c876d64666b43365bd5fb4cbfd(); } else { function waitForOtherFormsmpFrm8af8666e76e64576adccca73971d350b() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit0bfbf8c876d64666b43365bd5fb4cbfd(); } else { setTimeout(waitForOtherFormsmpFrm8af8666e76e64576adccca73971d350b,300); } } waitForOtherFormsmpFrm8af8666e76e64576adccca73971d350b(); }