var captchaWidgetmpFrme8b5d7ffbe36478ab81b706ecf4ab350; var mpCurrentScriptmpFrme8b5d7ffbe36478ab81b706ecf4ab350Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrme8b5d7ffbe36478ab81b706ecf4ab350"; 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); mpFormmpFrme8b5d7ffbe36478ab81b706ecf4ab350Find(); } })(); function mpFormmpFrme8b5d7ffbe36478ab81b706ecf4ab350Find() { if(!mpCurrentScriptmpFrme8b5d7ffbe36478ab81b706ecf4ab350Container) return; if (mpCurrentScriptmpFrme8b5d7ffbe36478ab81b706ecf4ab350Container && mpCurrentScriptmpFrme8b5d7ffbe36478ab81b706ecf4ab350Container.nodeName && mpCurrentScriptmpFrme8b5d7ffbe36478ab81b706ecf4ab350Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrme8b5d7ffbe36478ab81b706ecf4ab350" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrme8b5d7ffbe36478ab81b706ecf4ab350Container.children).forEach(c => { if (c.id === "mpFrme8b5d7ffbe36478ab81b706ecf4ab350") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript63363baf46fa433c9a526babe7a3dc95Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrme8b5d7ffbe36478ab81b706ecf4ab350"; } } } } function mpForm63363baf46fa433c9a526babe7a3dc95Check() { let checkBoxes = document.getElementById("mpform-63363baf46fa433c9a526babe7a3dc95").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 mpForm63363baf46fa433c9a526babe7a3dc95Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-63363baf46fa433c9a526babe7a3dc95").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-63363baf46fa433c9a526babe7a3dc95").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-63363baf46fa433c9a526babe7a3dc95").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-63363baf46fa433c9a526babe7a3dc95')), 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: getTrackingId63363baf46fa433c9a526babe7a3dc95() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-63363baf46fa433c9a526babe7a3dc95").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-63363baf46fa433c9a526babe7a3dc95").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) { mpForm63363baf46fa433c9a526babe7a3dc95Check(); 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-63363baf46fa433c9a526babe7a3dc95').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-63363baf46fa433c9a526babe7a3dc95").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-63363baf46fa433c9a526babe7a3dc95').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrme8b5d7ffbe36478ab81b706ecf4ab350); } else { mpForm63363baf46fa433c9a526babe7a3dc95Check(); 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 mpmRecaptchaLoaded63363baf46fa433c9a526babe7a3dc95() { captchaWidgetmpFrme8b5d7ffbe36478ab81b706ecf4ab350 = grecaptcha.render('mpmRecaptchampFrme8b5d7ffbe36478ab81b706ecf4ab350', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId63363baf46fa433c9a526babe7a3dc95() { 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 mpmFormInit63363baf46fa433c9a526babe7a3dc95 () { 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 finishedLoading63363baf46fa433c9a526babe7a3dc95() { window.mpFormLoading = false; let container = document.getElementById('mpFrme8b5d7ffbe36478ab81b706ecf4ab350'); if (!container) { mpFormmpFrme8b5d7ffbe36478ab81b706ecf4ab350Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrme8b5d7ffbe36478ab81b706ecf4ab350'); return setTimeout(finishedLoading63363baf46fa433c9a526babe7a3dc95, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-63363baf46fa433c9a526babe7a3dc95").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-63363baf46fa433c9a526babe7a3dc95").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-63363baf46fa433c9a526babe7a3dc95").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-63363baf46fa433c9a526babe7a3dc95").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-63363baf46fa433c9a526babe7a3dc95").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=mpmRecaptchaLoaded63363baf46fa433c9a526babe7a3dc95&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup63363baf46fa433c9a526babe7a3dc95() { let popups = document.getElementById("mpform-63363baf46fa433c9a526babe7a3dc95").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput63363baf46fa433c9a526babe7a3dc95() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading63363baf46fa433c9a526babe7a3dc95(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading63363baf46fa433c9a526babe7a3dc95(); } } 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); mploadTelInput63363baf46fa433c9a526babe7a3dc95(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit63363baf46fa433c9a526babe7a3dc95(); } else { function waitForOtherFormsmpFrme8b5d7ffbe36478ab81b706ecf4ab350() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit63363baf46fa433c9a526babe7a3dc95(); } else { setTimeout(waitForOtherFormsmpFrme8b5d7ffbe36478ab81b706ecf4ab350,300); } } waitForOtherFormsmpFrme8b5d7ffbe36478ab81b706ecf4ab350(); }