var captchaWidgetmpFrm4d9ad6bf07af489294e5b9255702ad59; var mpCurrentScriptmpFrm4d9ad6bf07af489294e5b9255702ad59Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm4d9ad6bf07af489294e5b9255702ad59"; 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); mpFormmpFrm4d9ad6bf07af489294e5b9255702ad59Find(); } })(); function mpFormmpFrm4d9ad6bf07af489294e5b9255702ad59Find() { if(!mpCurrentScriptmpFrm4d9ad6bf07af489294e5b9255702ad59Container) return; if (mpCurrentScriptmpFrm4d9ad6bf07af489294e5b9255702ad59Container && mpCurrentScriptmpFrm4d9ad6bf07af489294e5b9255702ad59Container.nodeName && mpCurrentScriptmpFrm4d9ad6bf07af489294e5b9255702ad59Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm4d9ad6bf07af489294e5b9255702ad59" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm4d9ad6bf07af489294e5b9255702ad59Container.children).forEach(c => { if (c.id === "mpFrm4d9ad6bf07af489294e5b9255702ad59") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptf9b69461d82c4df59a28391fcd44160dContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm4d9ad6bf07af489294e5b9255702ad59"; } } } } function mpFormf9b69461d82c4df59a28391fcd44160dCheck() { let checkBoxes = document.getElementById("mpform-f9b69461d82c4df59a28391fcd44160d").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 mpFormf9b69461d82c4df59a28391fcd44160dSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-f9b69461d82c4df59a28391fcd44160d").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-f9b69461d82c4df59a28391fcd44160d").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-f9b69461d82c4df59a28391fcd44160d").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-f9b69461d82c4df59a28391fcd44160d')), 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: getTrackingIdf9b69461d82c4df59a28391fcd44160d() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-f9b69461d82c4df59a28391fcd44160d").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-f9b69461d82c4df59a28391fcd44160d").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) { mpFormf9b69461d82c4df59a28391fcd44160dCheck(); 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-f9b69461d82c4df59a28391fcd44160d').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-f9b69461d82c4df59a28391fcd44160d").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-f9b69461d82c4df59a28391fcd44160d').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm4d9ad6bf07af489294e5b9255702ad59); } else { mpFormf9b69461d82c4df59a28391fcd44160dCheck(); 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 mpmRecaptchaLoadedf9b69461d82c4df59a28391fcd44160d() { captchaWidgetmpFrm4d9ad6bf07af489294e5b9255702ad59 = grecaptcha.render('mpmRecaptchampFrm4d9ad6bf07af489294e5b9255702ad59', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdf9b69461d82c4df59a28391fcd44160d() { 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 mpmFormInitf9b69461d82c4df59a28391fcd44160d () { 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 finishedLoadingf9b69461d82c4df59a28391fcd44160d() { window.mpFormLoading = false; let container = document.getElementById('mpFrm4d9ad6bf07af489294e5b9255702ad59'); if (!container) { mpFormmpFrm4d9ad6bf07af489294e5b9255702ad59Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm4d9ad6bf07af489294e5b9255702ad59'); return setTimeout(finishedLoadingf9b69461d82c4df59a28391fcd44160d, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-f9b69461d82c4df59a28391fcd44160d").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-f9b69461d82c4df59a28391fcd44160d").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-f9b69461d82c4df59a28391fcd44160d").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-f9b69461d82c4df59a28391fcd44160d").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-f9b69461d82c4df59a28391fcd44160d").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=mpmRecaptchaLoadedf9b69461d82c4df59a28391fcd44160d&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupf9b69461d82c4df59a28391fcd44160d() { let popups = document.getElementById("mpform-f9b69461d82c4df59a28391fcd44160d").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputf9b69461d82c4df59a28391fcd44160d() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingf9b69461d82c4df59a28391fcd44160d(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingf9b69461d82c4df59a28391fcd44160d(); } } 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); mploadTelInputf9b69461d82c4df59a28391fcd44160d(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitf9b69461d82c4df59a28391fcd44160d(); } else { function waitForOtherFormsmpFrm4d9ad6bf07af489294e5b9255702ad59() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitf9b69461d82c4df59a28391fcd44160d(); } else { setTimeout(waitForOtherFormsmpFrm4d9ad6bf07af489294e5b9255702ad59,300); } } waitForOtherFormsmpFrm4d9ad6bf07af489294e5b9255702ad59(); }