var captchaWidgetmpFrmda05e8c2718148159199608452635258; var mpCurrentScriptmpFrmda05e8c2718148159199608452635258Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmda05e8c2718148159199608452635258"; 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); mpFormmpFrmda05e8c2718148159199608452635258Find(); } })(); function mpFormmpFrmda05e8c2718148159199608452635258Find() { if(!mpCurrentScriptmpFrmda05e8c2718148159199608452635258Container) return; if (mpCurrentScriptmpFrmda05e8c2718148159199608452635258Container && mpCurrentScriptmpFrmda05e8c2718148159199608452635258Container.nodeName && mpCurrentScriptmpFrmda05e8c2718148159199608452635258Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmda05e8c2718148159199608452635258" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmda05e8c2718148159199608452635258Container.children).forEach(c => { if (c.id === "mpFrmda05e8c2718148159199608452635258") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptb402c6a2ac7b4ad29b6e7d7a4b59a960Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmda05e8c2718148159199608452635258"; } } } } function mpFormb402c6a2ac7b4ad29b6e7d7a4b59a960Check() { let checkBoxes = document.getElementById("mpform-b402c6a2ac7b4ad29b6e7d7a4b59a960").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 mpFormb402c6a2ac7b4ad29b6e7d7a4b59a960Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-b402c6a2ac7b4ad29b6e7d7a4b59a960").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-b402c6a2ac7b4ad29b6e7d7a4b59a960").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-b402c6a2ac7b4ad29b6e7d7a4b59a960").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-b402c6a2ac7b4ad29b6e7d7a4b59a960')), 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: getTrackingIdb402c6a2ac7b4ad29b6e7d7a4b59a960() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-b402c6a2ac7b4ad29b6e7d7a4b59a960").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-b402c6a2ac7b4ad29b6e7d7a4b59a960").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) { mpFormb402c6a2ac7b4ad29b6e7d7a4b59a960Check(); 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-b402c6a2ac7b4ad29b6e7d7a4b59a960').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-b402c6a2ac7b4ad29b6e7d7a4b59a960").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-b402c6a2ac7b4ad29b6e7d7a4b59a960').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmda05e8c2718148159199608452635258); } else { mpFormb402c6a2ac7b4ad29b6e7d7a4b59a960Check(); 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 mpmRecaptchaLoadedb402c6a2ac7b4ad29b6e7d7a4b59a960() { captchaWidgetmpFrmda05e8c2718148159199608452635258 = grecaptcha.render('mpmRecaptchampFrmda05e8c2718148159199608452635258', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdb402c6a2ac7b4ad29b6e7d7a4b59a960() { 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 mpmFormInitb402c6a2ac7b4ad29b6e7d7a4b59a960 () { 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 finishedLoadingb402c6a2ac7b4ad29b6e7d7a4b59a960() { window.mpFormLoading = false; let container = document.getElementById('mpFrmda05e8c2718148159199608452635258'); if (!container) { mpFormmpFrmda05e8c2718148159199608452635258Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmda05e8c2718148159199608452635258'); return setTimeout(finishedLoadingb402c6a2ac7b4ad29b6e7d7a4b59a960, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-b402c6a2ac7b4ad29b6e7d7a4b59a960").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-b402c6a2ac7b4ad29b6e7d7a4b59a960").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-b402c6a2ac7b4ad29b6e7d7a4b59a960").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-b402c6a2ac7b4ad29b6e7d7a4b59a960").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-b402c6a2ac7b4ad29b6e7d7a4b59a960").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=mpmRecaptchaLoadedb402c6a2ac7b4ad29b6e7d7a4b59a960&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupb402c6a2ac7b4ad29b6e7d7a4b59a960() { let popups = document.getElementById("mpform-b402c6a2ac7b4ad29b6e7d7a4b59a960").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputb402c6a2ac7b4ad29b6e7d7a4b59a960() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingb402c6a2ac7b4ad29b6e7d7a4b59a960(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingb402c6a2ac7b4ad29b6e7d7a4b59a960(); } } 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); mploadTelInputb402c6a2ac7b4ad29b6e7d7a4b59a960(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitb402c6a2ac7b4ad29b6e7d7a4b59a960(); } else { function waitForOtherFormsmpFrmda05e8c2718148159199608452635258() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitb402c6a2ac7b4ad29b6e7d7a4b59a960(); } else { setTimeout(waitForOtherFormsmpFrmda05e8c2718148159199608452635258,300); } } waitForOtherFormsmpFrmda05e8c2718148159199608452635258(); }