var captchaWidgetmpFrmdc041a280c894835b8179b5c59c15393; var mpCurrentScriptmpFrmdc041a280c894835b8179b5c59c15393Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmdc041a280c894835b8179b5c59c15393"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41955"); 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); mpFormmpFrmdc041a280c894835b8179b5c59c15393Find(); } })(); function mpFormmpFrmdc041a280c894835b8179b5c59c15393Find() { if(!mpCurrentScriptmpFrmdc041a280c894835b8179b5c59c15393Container) return; if (mpCurrentScriptmpFrmdc041a280c894835b8179b5c59c15393Container && mpCurrentScriptmpFrmdc041a280c894835b8179b5c59c15393Container.nodeName && mpCurrentScriptmpFrmdc041a280c894835b8179b5c59c15393Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmdc041a280c894835b8179b5c59c15393" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmdc041a280c894835b8179b5c59c15393Container.children).forEach(c => { if (c.id === "mpFrmdc041a280c894835b8179b5c59c15393") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript34111e2e28a54718b3c12a8d864d2039Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmdc041a280c894835b8179b5c59c15393"; } } } } function mpForm34111e2e28a54718b3c12a8d864d2039Check() { let checkBoxes = document.getElementById("mpform-34111e2e28a54718b3c12a8d864d2039").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 mpForm34111e2e28a54718b3c12a8d864d2039Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-34111e2e28a54718b3c12a8d864d2039").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-34111e2e28a54718b3c12a8d864d2039").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-34111e2e28a54718b3c12a8d864d2039").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-34111e2e28a54718b3c12a8d864d2039')), 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: getTrackingId34111e2e28a54718b3c12a8d864d2039() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-34111e2e28a54718b3c12a8d864d2039").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-34111e2e28a54718b3c12a8d864d2039").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=41955", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm34111e2e28a54718b3c12a8d864d2039Check(); 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-34111e2e28a54718b3c12a8d864d2039').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-34111e2e28a54718b3c12a8d864d2039").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-34111e2e28a54718b3c12a8d864d2039').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmdc041a280c894835b8179b5c59c15393); } else { mpForm34111e2e28a54718b3c12a8d864d2039Check(); 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 mpmRecaptchaLoaded34111e2e28a54718b3c12a8d864d2039() { captchaWidgetmpFrmdc041a280c894835b8179b5c59c15393 = grecaptcha.render('mpmRecaptchampFrmdc041a280c894835b8179b5c59c15393', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId34111e2e28a54718b3c12a8d864d2039() { 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 mpmFormInit34111e2e28a54718b3c12a8d864d2039 () { 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 finishedLoading34111e2e28a54718b3c12a8d864d2039() { window.mpFormLoading = false; let container = document.getElementById('mpFrmdc041a280c894835b8179b5c59c15393'); if (!container) { mpFormmpFrmdc041a280c894835b8179b5c59c15393Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmdc041a280c894835b8179b5c59c15393'); return setTimeout(finishedLoading34111e2e28a54718b3c12a8d864d2039, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-34111e2e28a54718b3c12a8d864d2039").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-34111e2e28a54718b3c12a8d864d2039").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-34111e2e28a54718b3c12a8d864d2039").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-34111e2e28a54718b3c12a8d864d2039").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-34111e2e28a54718b3c12a8d864d2039").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=mpmRecaptchaLoaded34111e2e28a54718b3c12a8d864d2039&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup34111e2e28a54718b3c12a8d864d2039() { let popups = document.getElementById("mpform-34111e2e28a54718b3c12a8d864d2039").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput34111e2e28a54718b3c12a8d864d2039() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading34111e2e28a54718b3c12a8d864d2039(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading34111e2e28a54718b3c12a8d864d2039(); } } 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); mploadTelInput34111e2e28a54718b3c12a8d864d2039(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit34111e2e28a54718b3c12a8d864d2039(); } else { function waitForOtherFormsmpFrmdc041a280c894835b8179b5c59c15393() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit34111e2e28a54718b3c12a8d864d2039(); } else { setTimeout(waitForOtherFormsmpFrmdc041a280c894835b8179b5c59c15393,300); } } waitForOtherFormsmpFrmdc041a280c894835b8179b5c59c15393(); }