var captchaWidgetmpFrme2f52c80597a458bb53ef936c2c44463; var mpCurrentScriptmpFrme2f52c80597a458bb53ef936c2c44463Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrme2f52c80597a458bb53ef936c2c44463"; 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); mpFormmpFrme2f52c80597a458bb53ef936c2c44463Find(); } })(); function mpFormmpFrme2f52c80597a458bb53ef936c2c44463Find() { if(!mpCurrentScriptmpFrme2f52c80597a458bb53ef936c2c44463Container) return; if (mpCurrentScriptmpFrme2f52c80597a458bb53ef936c2c44463Container && mpCurrentScriptmpFrme2f52c80597a458bb53ef936c2c44463Container.nodeName && mpCurrentScriptmpFrme2f52c80597a458bb53ef936c2c44463Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrme2f52c80597a458bb53ef936c2c44463" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrme2f52c80597a458bb53ef936c2c44463Container.children).forEach(c => { if (c.id === "mpFrme2f52c80597a458bb53ef936c2c44463") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript144b5dec862d4928b3c5f06f2cebf0cfContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrme2f52c80597a458bb53ef936c2c44463"; } } } } function mpForm144b5dec862d4928b3c5f06f2cebf0cfCheck() { let checkBoxes = document.getElementById("mpform-144b5dec862d4928b3c5f06f2cebf0cf").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 mpForm144b5dec862d4928b3c5f06f2cebf0cfSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-144b5dec862d4928b3c5f06f2cebf0cf").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-144b5dec862d4928b3c5f06f2cebf0cf").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-144b5dec862d4928b3c5f06f2cebf0cf").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-144b5dec862d4928b3c5f06f2cebf0cf')), 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: getTrackingId144b5dec862d4928b3c5f06f2cebf0cf() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-144b5dec862d4928b3c5f06f2cebf0cf").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-144b5dec862d4928b3c5f06f2cebf0cf").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) { mpForm144b5dec862d4928b3c5f06f2cebf0cfCheck(); 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-144b5dec862d4928b3c5f06f2cebf0cf').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-144b5dec862d4928b3c5f06f2cebf0cf").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-144b5dec862d4928b3c5f06f2cebf0cf').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrme2f52c80597a458bb53ef936c2c44463); } else { mpForm144b5dec862d4928b3c5f06f2cebf0cfCheck(); 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 mpmRecaptchaLoaded144b5dec862d4928b3c5f06f2cebf0cf() { captchaWidgetmpFrme2f52c80597a458bb53ef936c2c44463 = grecaptcha.render('mpmRecaptchampFrme2f52c80597a458bb53ef936c2c44463', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId144b5dec862d4928b3c5f06f2cebf0cf() { 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 mpmFormInit144b5dec862d4928b3c5f06f2cebf0cf () { 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 finishedLoading144b5dec862d4928b3c5f06f2cebf0cf() { window.mpFormLoading = false; let container = document.getElementById('mpFrme2f52c80597a458bb53ef936c2c44463'); if (!container) { mpFormmpFrme2f52c80597a458bb53ef936c2c44463Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrme2f52c80597a458bb53ef936c2c44463'); return setTimeout(finishedLoading144b5dec862d4928b3c5f06f2cebf0cf, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-144b5dec862d4928b3c5f06f2cebf0cf").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-144b5dec862d4928b3c5f06f2cebf0cf").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-144b5dec862d4928b3c5f06f2cebf0cf").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-144b5dec862d4928b3c5f06f2cebf0cf").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-144b5dec862d4928b3c5f06f2cebf0cf").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=mpmRecaptchaLoaded144b5dec862d4928b3c5f06f2cebf0cf&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup144b5dec862d4928b3c5f06f2cebf0cf() { let popups = document.getElementById("mpform-144b5dec862d4928b3c5f06f2cebf0cf").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput144b5dec862d4928b3c5f06f2cebf0cf() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading144b5dec862d4928b3c5f06f2cebf0cf(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading144b5dec862d4928b3c5f06f2cebf0cf(); } } 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); mploadTelInput144b5dec862d4928b3c5f06f2cebf0cf(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit144b5dec862d4928b3c5f06f2cebf0cf(); } else { function waitForOtherFormsmpFrme2f52c80597a458bb53ef936c2c44463() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit144b5dec862d4928b3c5f06f2cebf0cf(); } else { setTimeout(waitForOtherFormsmpFrme2f52c80597a458bb53ef936c2c44463,300); } } waitForOtherFormsmpFrme2f52c80597a458bb53ef936c2c44463(); }