var captchaWidgetmpFrma9a1c24f311b4b769bcfc1274dd5ab91; var mpCurrentScriptmpFrma9a1c24f311b4b769bcfc1274dd5ab91Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrma9a1c24f311b4b769bcfc1274dd5ab91"; 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); mpFormmpFrma9a1c24f311b4b769bcfc1274dd5ab91Find(); } })(); function mpFormmpFrma9a1c24f311b4b769bcfc1274dd5ab91Find() { if(!mpCurrentScriptmpFrma9a1c24f311b4b769bcfc1274dd5ab91Container) return; if (mpCurrentScriptmpFrma9a1c24f311b4b769bcfc1274dd5ab91Container && mpCurrentScriptmpFrma9a1c24f311b4b769bcfc1274dd5ab91Container.nodeName && mpCurrentScriptmpFrma9a1c24f311b4b769bcfc1274dd5ab91Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrma9a1c24f311b4b769bcfc1274dd5ab91" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrma9a1c24f311b4b769bcfc1274dd5ab91Container.children).forEach(c => { if (c.id === "mpFrma9a1c24f311b4b769bcfc1274dd5ab91") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptf466a3b7c3904604acf7f1e1c585d92cContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrma9a1c24f311b4b769bcfc1274dd5ab91"; } } } } function mpFormf466a3b7c3904604acf7f1e1c585d92cCheck() { let checkBoxes = document.getElementById("mpform-f466a3b7c3904604acf7f1e1c585d92c").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 mpFormf466a3b7c3904604acf7f1e1c585d92cSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-f466a3b7c3904604acf7f1e1c585d92c").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-f466a3b7c3904604acf7f1e1c585d92c").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-f466a3b7c3904604acf7f1e1c585d92c").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-f466a3b7c3904604acf7f1e1c585d92c')), 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: getTrackingIdf466a3b7c3904604acf7f1e1c585d92c() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-f466a3b7c3904604acf7f1e1c585d92c").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-f466a3b7c3904604acf7f1e1c585d92c").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) { mpFormf466a3b7c3904604acf7f1e1c585d92cCheck(); 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-f466a3b7c3904604acf7f1e1c585d92c').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-f466a3b7c3904604acf7f1e1c585d92c").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-f466a3b7c3904604acf7f1e1c585d92c').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrma9a1c24f311b4b769bcfc1274dd5ab91); } else { mpFormf466a3b7c3904604acf7f1e1c585d92cCheck(); 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 mpmRecaptchaLoadedf466a3b7c3904604acf7f1e1c585d92c() { captchaWidgetmpFrma9a1c24f311b4b769bcfc1274dd5ab91 = grecaptcha.render('mpmRecaptchampFrma9a1c24f311b4b769bcfc1274dd5ab91', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdf466a3b7c3904604acf7f1e1c585d92c() { 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 mpmFormInitf466a3b7c3904604acf7f1e1c585d92c () { 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 finishedLoadingf466a3b7c3904604acf7f1e1c585d92c() { window.mpFormLoading = false; let container = document.getElementById('mpFrma9a1c24f311b4b769bcfc1274dd5ab91'); if (!container) { mpFormmpFrma9a1c24f311b4b769bcfc1274dd5ab91Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrma9a1c24f311b4b769bcfc1274dd5ab91'); return setTimeout(finishedLoadingf466a3b7c3904604acf7f1e1c585d92c, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-f466a3b7c3904604acf7f1e1c585d92c").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-f466a3b7c3904604acf7f1e1c585d92c").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-f466a3b7c3904604acf7f1e1c585d92c").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-f466a3b7c3904604acf7f1e1c585d92c").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-f466a3b7c3904604acf7f1e1c585d92c").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=mpmRecaptchaLoadedf466a3b7c3904604acf7f1e1c585d92c&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupf466a3b7c3904604acf7f1e1c585d92c() { let popups = document.getElementById("mpform-f466a3b7c3904604acf7f1e1c585d92c").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputf466a3b7c3904604acf7f1e1c585d92c() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingf466a3b7c3904604acf7f1e1c585d92c(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingf466a3b7c3904604acf7f1e1c585d92c(); } } 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); mploadTelInputf466a3b7c3904604acf7f1e1c585d92c(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitf466a3b7c3904604acf7f1e1c585d92c(); } else { function waitForOtherFormsmpFrma9a1c24f311b4b769bcfc1274dd5ab91() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitf466a3b7c3904604acf7f1e1c585d92c(); } else { setTimeout(waitForOtherFormsmpFrma9a1c24f311b4b769bcfc1274dd5ab91,300); } } waitForOtherFormsmpFrma9a1c24f311b4b769bcfc1274dd5ab91(); }