var captchaWidgetmpFrmcfa8b77e0a924ec6adbd2de1a83bb691; var mpCurrentScriptmpFrmcfa8b77e0a924ec6adbd2de1a83bb691Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmcfa8b77e0a924ec6adbd2de1a83bb691"; 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); mpFormmpFrmcfa8b77e0a924ec6adbd2de1a83bb691Find(); } })(); function mpFormmpFrmcfa8b77e0a924ec6adbd2de1a83bb691Find() { if(!mpCurrentScriptmpFrmcfa8b77e0a924ec6adbd2de1a83bb691Container) return; if (mpCurrentScriptmpFrmcfa8b77e0a924ec6adbd2de1a83bb691Container && mpCurrentScriptmpFrmcfa8b77e0a924ec6adbd2de1a83bb691Container.nodeName && mpCurrentScriptmpFrmcfa8b77e0a924ec6adbd2de1a83bb691Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmcfa8b77e0a924ec6adbd2de1a83bb691" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmcfa8b77e0a924ec6adbd2de1a83bb691Container.children).forEach(c => { if (c.id === "mpFrmcfa8b77e0a924ec6adbd2de1a83bb691") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript8f217cae6aca4ba9bb940715cf963f0dContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmcfa8b77e0a924ec6adbd2de1a83bb691"; } } } } function mpForm8f217cae6aca4ba9bb940715cf963f0dCheck() { let checkBoxes = document.getElementById("mpform-8f217cae6aca4ba9bb940715cf963f0d").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 mpForm8f217cae6aca4ba9bb940715cf963f0dSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-8f217cae6aca4ba9bb940715cf963f0d").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-8f217cae6aca4ba9bb940715cf963f0d").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-8f217cae6aca4ba9bb940715cf963f0d").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-8f217cae6aca4ba9bb940715cf963f0d')), 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: getTrackingId8f217cae6aca4ba9bb940715cf963f0d() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-8f217cae6aca4ba9bb940715cf963f0d").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-8f217cae6aca4ba9bb940715cf963f0d").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) { mpForm8f217cae6aca4ba9bb940715cf963f0dCheck(); 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-8f217cae6aca4ba9bb940715cf963f0d').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-8f217cae6aca4ba9bb940715cf963f0d").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-8f217cae6aca4ba9bb940715cf963f0d').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmcfa8b77e0a924ec6adbd2de1a83bb691); } else { mpForm8f217cae6aca4ba9bb940715cf963f0dCheck(); 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 mpmRecaptchaLoaded8f217cae6aca4ba9bb940715cf963f0d() { captchaWidgetmpFrmcfa8b77e0a924ec6adbd2de1a83bb691 = grecaptcha.render('mpmRecaptchampFrmcfa8b77e0a924ec6adbd2de1a83bb691', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId8f217cae6aca4ba9bb940715cf963f0d() { 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 mpmFormInit8f217cae6aca4ba9bb940715cf963f0d () { 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 finishedLoading8f217cae6aca4ba9bb940715cf963f0d() { window.mpFormLoading = false; let container = document.getElementById('mpFrmcfa8b77e0a924ec6adbd2de1a83bb691'); if (!container) { mpFormmpFrmcfa8b77e0a924ec6adbd2de1a83bb691Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmcfa8b77e0a924ec6adbd2de1a83bb691'); return setTimeout(finishedLoading8f217cae6aca4ba9bb940715cf963f0d, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-8f217cae6aca4ba9bb940715cf963f0d").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-8f217cae6aca4ba9bb940715cf963f0d").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-8f217cae6aca4ba9bb940715cf963f0d").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-8f217cae6aca4ba9bb940715cf963f0d").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-8f217cae6aca4ba9bb940715cf963f0d").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=mpmRecaptchaLoaded8f217cae6aca4ba9bb940715cf963f0d&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup8f217cae6aca4ba9bb940715cf963f0d() { let popups = document.getElementById("mpform-8f217cae6aca4ba9bb940715cf963f0d").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput8f217cae6aca4ba9bb940715cf963f0d() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading8f217cae6aca4ba9bb940715cf963f0d(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading8f217cae6aca4ba9bb940715cf963f0d(); } } 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); mploadTelInput8f217cae6aca4ba9bb940715cf963f0d(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit8f217cae6aca4ba9bb940715cf963f0d(); } else { function waitForOtherFormsmpFrmcfa8b77e0a924ec6adbd2de1a83bb691() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit8f217cae6aca4ba9bb940715cf963f0d(); } else { setTimeout(waitForOtherFormsmpFrmcfa8b77e0a924ec6adbd2de1a83bb691,300); } } waitForOtherFormsmpFrmcfa8b77e0a924ec6adbd2de1a83bb691(); }