var captchaWidgetmpFrmdb2b101a162c4176a086e089a8033f42; var mpCurrentScriptmpFrmdb2b101a162c4176a086e089a8033f42Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmdb2b101a162c4176a086e089a8033f42"; 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); mpFormmpFrmdb2b101a162c4176a086e089a8033f42Find(); } })(); function mpFormmpFrmdb2b101a162c4176a086e089a8033f42Find() { if(!mpCurrentScriptmpFrmdb2b101a162c4176a086e089a8033f42Container) return; if (mpCurrentScriptmpFrmdb2b101a162c4176a086e089a8033f42Container && mpCurrentScriptmpFrmdb2b101a162c4176a086e089a8033f42Container.nodeName && mpCurrentScriptmpFrmdb2b101a162c4176a086e089a8033f42Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmdb2b101a162c4176a086e089a8033f42" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmdb2b101a162c4176a086e089a8033f42Container.children).forEach(c => { if (c.id === "mpFrmdb2b101a162c4176a086e089a8033f42") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript3e58af0cecbd441892c0c639deeb8be8Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmdb2b101a162c4176a086e089a8033f42"; } } } } function mpForm3e58af0cecbd441892c0c639deeb8be8Check() { let checkBoxes = document.getElementById("mpform-3e58af0cecbd441892c0c639deeb8be8").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 mpForm3e58af0cecbd441892c0c639deeb8be8Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-3e58af0cecbd441892c0c639deeb8be8").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-3e58af0cecbd441892c0c639deeb8be8").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-3e58af0cecbd441892c0c639deeb8be8").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-3e58af0cecbd441892c0c639deeb8be8')), 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: getTrackingId3e58af0cecbd441892c0c639deeb8be8() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-3e58af0cecbd441892c0c639deeb8be8").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-3e58af0cecbd441892c0c639deeb8be8").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) { mpForm3e58af0cecbd441892c0c639deeb8be8Check(); 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-3e58af0cecbd441892c0c639deeb8be8').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-3e58af0cecbd441892c0c639deeb8be8").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-3e58af0cecbd441892c0c639deeb8be8').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmdb2b101a162c4176a086e089a8033f42); } else { mpForm3e58af0cecbd441892c0c639deeb8be8Check(); 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 mpmRecaptchaLoaded3e58af0cecbd441892c0c639deeb8be8() { captchaWidgetmpFrmdb2b101a162c4176a086e089a8033f42 = grecaptcha.render('mpmRecaptchampFrmdb2b101a162c4176a086e089a8033f42', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId3e58af0cecbd441892c0c639deeb8be8() { 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 mpmFormInit3e58af0cecbd441892c0c639deeb8be8 () { 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 finishedLoading3e58af0cecbd441892c0c639deeb8be8() { window.mpFormLoading = false; let container = document.getElementById('mpFrmdb2b101a162c4176a086e089a8033f42'); if (!container) { mpFormmpFrmdb2b101a162c4176a086e089a8033f42Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmdb2b101a162c4176a086e089a8033f42'); return setTimeout(finishedLoading3e58af0cecbd441892c0c639deeb8be8, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-3e58af0cecbd441892c0c639deeb8be8").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-3e58af0cecbd441892c0c639deeb8be8").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-3e58af0cecbd441892c0c639deeb8be8").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-3e58af0cecbd441892c0c639deeb8be8").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-3e58af0cecbd441892c0c639deeb8be8").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=mpmRecaptchaLoaded3e58af0cecbd441892c0c639deeb8be8&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup3e58af0cecbd441892c0c639deeb8be8() { let popups = document.getElementById("mpform-3e58af0cecbd441892c0c639deeb8be8").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput3e58af0cecbd441892c0c639deeb8be8() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading3e58af0cecbd441892c0c639deeb8be8(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading3e58af0cecbd441892c0c639deeb8be8(); } } 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); mploadTelInput3e58af0cecbd441892c0c639deeb8be8(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit3e58af0cecbd441892c0c639deeb8be8(); } else { function waitForOtherFormsmpFrmdb2b101a162c4176a086e089a8033f42() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit3e58af0cecbd441892c0c639deeb8be8(); } else { setTimeout(waitForOtherFormsmpFrmdb2b101a162c4176a086e089a8033f42,300); } } waitForOtherFormsmpFrmdb2b101a162c4176a086e089a8033f42(); }