var captchaWidgetmpFrmcb216481f5ea46b4a8b6cc188b986db8; var mpCurrentScriptmpFrmcb216481f5ea46b4a8b6cc188b986db8Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmcb216481f5ea46b4a8b6cc188b986db8"; 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); mpFormmpFrmcb216481f5ea46b4a8b6cc188b986db8Find(); } })(); function mpFormmpFrmcb216481f5ea46b4a8b6cc188b986db8Find() { if(!mpCurrentScriptmpFrmcb216481f5ea46b4a8b6cc188b986db8Container) return; if (mpCurrentScriptmpFrmcb216481f5ea46b4a8b6cc188b986db8Container && mpCurrentScriptmpFrmcb216481f5ea46b4a8b6cc188b986db8Container.nodeName && mpCurrentScriptmpFrmcb216481f5ea46b4a8b6cc188b986db8Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmcb216481f5ea46b4a8b6cc188b986db8" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmcb216481f5ea46b4a8b6cc188b986db8Container.children).forEach(c => { if (c.id === "mpFrmcb216481f5ea46b4a8b6cc188b986db8") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptb68a0d545cf54a19b6ded0e624d52617Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmcb216481f5ea46b4a8b6cc188b986db8"; } } } } function mpFormb68a0d545cf54a19b6ded0e624d52617Check() { let checkBoxes = document.getElementById("mpform-b68a0d545cf54a19b6ded0e624d52617").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 mpFormb68a0d545cf54a19b6ded0e624d52617Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-b68a0d545cf54a19b6ded0e624d52617").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-b68a0d545cf54a19b6ded0e624d52617").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-b68a0d545cf54a19b6ded0e624d52617").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-b68a0d545cf54a19b6ded0e624d52617')), 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: getTrackingIdb68a0d545cf54a19b6ded0e624d52617() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-b68a0d545cf54a19b6ded0e624d52617").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-b68a0d545cf54a19b6ded0e624d52617").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) { mpFormb68a0d545cf54a19b6ded0e624d52617Check(); 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-b68a0d545cf54a19b6ded0e624d52617').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-b68a0d545cf54a19b6ded0e624d52617").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-b68a0d545cf54a19b6ded0e624d52617').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmcb216481f5ea46b4a8b6cc188b986db8); } else { mpFormb68a0d545cf54a19b6ded0e624d52617Check(); 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 mpmRecaptchaLoadedb68a0d545cf54a19b6ded0e624d52617() { captchaWidgetmpFrmcb216481f5ea46b4a8b6cc188b986db8 = grecaptcha.render('mpmRecaptchampFrmcb216481f5ea46b4a8b6cc188b986db8', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdb68a0d545cf54a19b6ded0e624d52617() { 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 mpmFormInitb68a0d545cf54a19b6ded0e624d52617 () { 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 finishedLoadingb68a0d545cf54a19b6ded0e624d52617() { window.mpFormLoading = false; let container = document.getElementById('mpFrmcb216481f5ea46b4a8b6cc188b986db8'); if (!container) { mpFormmpFrmcb216481f5ea46b4a8b6cc188b986db8Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmcb216481f5ea46b4a8b6cc188b986db8'); return setTimeout(finishedLoadingb68a0d545cf54a19b6ded0e624d52617, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-b68a0d545cf54a19b6ded0e624d52617").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-b68a0d545cf54a19b6ded0e624d52617").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-b68a0d545cf54a19b6ded0e624d52617").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-b68a0d545cf54a19b6ded0e624d52617").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-b68a0d545cf54a19b6ded0e624d52617").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=mpmRecaptchaLoadedb68a0d545cf54a19b6ded0e624d52617&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupb68a0d545cf54a19b6ded0e624d52617() { let popups = document.getElementById("mpform-b68a0d545cf54a19b6ded0e624d52617").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputb68a0d545cf54a19b6ded0e624d52617() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingb68a0d545cf54a19b6ded0e624d52617(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingb68a0d545cf54a19b6ded0e624d52617(); } } 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); mploadTelInputb68a0d545cf54a19b6ded0e624d52617(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitb68a0d545cf54a19b6ded0e624d52617(); } else { function waitForOtherFormsmpFrmcb216481f5ea46b4a8b6cc188b986db8() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitb68a0d545cf54a19b6ded0e624d52617(); } else { setTimeout(waitForOtherFormsmpFrmcb216481f5ea46b4a8b6cc188b986db8,300); } } waitForOtherFormsmpFrmcb216481f5ea46b4a8b6cc188b986db8(); }