var captchaWidgetmpFrm4bd6220a1160423c98793141dce0c923; var mpCurrentScriptmpFrm4bd6220a1160423c98793141dce0c923Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm4bd6220a1160423c98793141dce0c923"; 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); mpFormmpFrm4bd6220a1160423c98793141dce0c923Find(); } })(); function mpFormmpFrm4bd6220a1160423c98793141dce0c923Find() { if(!mpCurrentScriptmpFrm4bd6220a1160423c98793141dce0c923Container) return; if (mpCurrentScriptmpFrm4bd6220a1160423c98793141dce0c923Container && mpCurrentScriptmpFrm4bd6220a1160423c98793141dce0c923Container.nodeName && mpCurrentScriptmpFrm4bd6220a1160423c98793141dce0c923Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm4bd6220a1160423c98793141dce0c923" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm4bd6220a1160423c98793141dce0c923Container.children).forEach(c => { if (c.id === "mpFrm4bd6220a1160423c98793141dce0c923") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript745da0317ddc49faa85a54b7b542ce3fContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm4bd6220a1160423c98793141dce0c923"; } } } } function mpForm745da0317ddc49faa85a54b7b542ce3fCheck() { let checkBoxes = document.getElementById("mpform-745da0317ddc49faa85a54b7b542ce3f").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 mpForm745da0317ddc49faa85a54b7b542ce3fSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-745da0317ddc49faa85a54b7b542ce3f").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-745da0317ddc49faa85a54b7b542ce3f").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-745da0317ddc49faa85a54b7b542ce3f").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-745da0317ddc49faa85a54b7b542ce3f')), 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: getTrackingId745da0317ddc49faa85a54b7b542ce3f() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-745da0317ddc49faa85a54b7b542ce3f").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-745da0317ddc49faa85a54b7b542ce3f").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) { mpForm745da0317ddc49faa85a54b7b542ce3fCheck(); 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-745da0317ddc49faa85a54b7b542ce3f').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-745da0317ddc49faa85a54b7b542ce3f").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-745da0317ddc49faa85a54b7b542ce3f').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm4bd6220a1160423c98793141dce0c923); } else { mpForm745da0317ddc49faa85a54b7b542ce3fCheck(); 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 mpmRecaptchaLoaded745da0317ddc49faa85a54b7b542ce3f() { captchaWidgetmpFrm4bd6220a1160423c98793141dce0c923 = grecaptcha.render('mpmRecaptchampFrm4bd6220a1160423c98793141dce0c923', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId745da0317ddc49faa85a54b7b542ce3f() { 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 mpmFormInit745da0317ddc49faa85a54b7b542ce3f () { 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 finishedLoading745da0317ddc49faa85a54b7b542ce3f() { window.mpFormLoading = false; let container = document.getElementById('mpFrm4bd6220a1160423c98793141dce0c923'); if (!container) { mpFormmpFrm4bd6220a1160423c98793141dce0c923Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm4bd6220a1160423c98793141dce0c923'); return setTimeout(finishedLoading745da0317ddc49faa85a54b7b542ce3f, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-745da0317ddc49faa85a54b7b542ce3f").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-745da0317ddc49faa85a54b7b542ce3f").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-745da0317ddc49faa85a54b7b542ce3f").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-745da0317ddc49faa85a54b7b542ce3f").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-745da0317ddc49faa85a54b7b542ce3f").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=mpmRecaptchaLoaded745da0317ddc49faa85a54b7b542ce3f&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup745da0317ddc49faa85a54b7b542ce3f() { let popups = document.getElementById("mpform-745da0317ddc49faa85a54b7b542ce3f").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput745da0317ddc49faa85a54b7b542ce3f() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading745da0317ddc49faa85a54b7b542ce3f(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading745da0317ddc49faa85a54b7b542ce3f(); } } 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); mploadTelInput745da0317ddc49faa85a54b7b542ce3f(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit745da0317ddc49faa85a54b7b542ce3f(); } else { function waitForOtherFormsmpFrm4bd6220a1160423c98793141dce0c923() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit745da0317ddc49faa85a54b7b542ce3f(); } else { setTimeout(waitForOtherFormsmpFrm4bd6220a1160423c98793141dce0c923,300); } } waitForOtherFormsmpFrm4bd6220a1160423c98793141dce0c923(); }