var captchaWidgetmpFrmd21fa67b4b534e8cbd9904a4bb0244e1; var mpCurrentScriptmpFrmd21fa67b4b534e8cbd9904a4bb0244e1Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmd21fa67b4b534e8cbd9904a4bb0244e1"; 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); mpFormmpFrmd21fa67b4b534e8cbd9904a4bb0244e1Find(); } })(); function mpFormmpFrmd21fa67b4b534e8cbd9904a4bb0244e1Find() { if(!mpCurrentScriptmpFrmd21fa67b4b534e8cbd9904a4bb0244e1Container) return; if (mpCurrentScriptmpFrmd21fa67b4b534e8cbd9904a4bb0244e1Container && mpCurrentScriptmpFrmd21fa67b4b534e8cbd9904a4bb0244e1Container.nodeName && mpCurrentScriptmpFrmd21fa67b4b534e8cbd9904a4bb0244e1Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmd21fa67b4b534e8cbd9904a4bb0244e1" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmd21fa67b4b534e8cbd9904a4bb0244e1Container.children).forEach(c => { if (c.id === "mpFrmd21fa67b4b534e8cbd9904a4bb0244e1") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript5afc786d73344b5996a6e93c3ad86dc1Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmd21fa67b4b534e8cbd9904a4bb0244e1"; } } } } function mpForm5afc786d73344b5996a6e93c3ad86dc1Check() { let checkBoxes = document.getElementById("mpform-5afc786d73344b5996a6e93c3ad86dc1").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 mpForm5afc786d73344b5996a6e93c3ad86dc1Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-5afc786d73344b5996a6e93c3ad86dc1").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-5afc786d73344b5996a6e93c3ad86dc1").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-5afc786d73344b5996a6e93c3ad86dc1").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-5afc786d73344b5996a6e93c3ad86dc1')), 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: getTrackingId5afc786d73344b5996a6e93c3ad86dc1() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-5afc786d73344b5996a6e93c3ad86dc1").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-5afc786d73344b5996a6e93c3ad86dc1").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) { mpForm5afc786d73344b5996a6e93c3ad86dc1Check(); 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-5afc786d73344b5996a6e93c3ad86dc1').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-5afc786d73344b5996a6e93c3ad86dc1").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-5afc786d73344b5996a6e93c3ad86dc1').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmd21fa67b4b534e8cbd9904a4bb0244e1); } else { mpForm5afc786d73344b5996a6e93c3ad86dc1Check(); 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 mpmRecaptchaLoaded5afc786d73344b5996a6e93c3ad86dc1() { captchaWidgetmpFrmd21fa67b4b534e8cbd9904a4bb0244e1 = grecaptcha.render('mpmRecaptchampFrmd21fa67b4b534e8cbd9904a4bb0244e1', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId5afc786d73344b5996a6e93c3ad86dc1() { 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 mpmFormInit5afc786d73344b5996a6e93c3ad86dc1 () { 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 finishedLoading5afc786d73344b5996a6e93c3ad86dc1() { window.mpFormLoading = false; let container = document.getElementById('mpFrmd21fa67b4b534e8cbd9904a4bb0244e1'); if (!container) { mpFormmpFrmd21fa67b4b534e8cbd9904a4bb0244e1Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmd21fa67b4b534e8cbd9904a4bb0244e1'); return setTimeout(finishedLoading5afc786d73344b5996a6e93c3ad86dc1, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-5afc786d73344b5996a6e93c3ad86dc1").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-5afc786d73344b5996a6e93c3ad86dc1").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-5afc786d73344b5996a6e93c3ad86dc1").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-5afc786d73344b5996a6e93c3ad86dc1").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-5afc786d73344b5996a6e93c3ad86dc1").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=mpmRecaptchaLoaded5afc786d73344b5996a6e93c3ad86dc1&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup5afc786d73344b5996a6e93c3ad86dc1() { let popups = document.getElementById("mpform-5afc786d73344b5996a6e93c3ad86dc1").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput5afc786d73344b5996a6e93c3ad86dc1() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading5afc786d73344b5996a6e93c3ad86dc1(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading5afc786d73344b5996a6e93c3ad86dc1(); } } 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); mploadTelInput5afc786d73344b5996a6e93c3ad86dc1(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit5afc786d73344b5996a6e93c3ad86dc1(); } else { function waitForOtherFormsmpFrmd21fa67b4b534e8cbd9904a4bb0244e1() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit5afc786d73344b5996a6e93c3ad86dc1(); } else { setTimeout(waitForOtherFormsmpFrmd21fa67b4b534e8cbd9904a4bb0244e1,300); } } waitForOtherFormsmpFrmd21fa67b4b534e8cbd9904a4bb0244e1(); }