var captchaWidgetmpFrm08c8aeccae274ba9aa887b69c553d823; var mpCurrentScriptmpFrm08c8aeccae274ba9aa887b69c553d823Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm08c8aeccae274ba9aa887b69c553d823"; 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); mpFormmpFrm08c8aeccae274ba9aa887b69c553d823Find(); } })(); function mpFormmpFrm08c8aeccae274ba9aa887b69c553d823Find() { if(!mpCurrentScriptmpFrm08c8aeccae274ba9aa887b69c553d823Container) return; if (mpCurrentScriptmpFrm08c8aeccae274ba9aa887b69c553d823Container && mpCurrentScriptmpFrm08c8aeccae274ba9aa887b69c553d823Container.nodeName && mpCurrentScriptmpFrm08c8aeccae274ba9aa887b69c553d823Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm08c8aeccae274ba9aa887b69c553d823" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm08c8aeccae274ba9aa887b69c553d823Container.children).forEach(c => { if (c.id === "mpFrm08c8aeccae274ba9aa887b69c553d823") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptf8934494ddd24bd38b48f2cab94e0c0fContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm08c8aeccae274ba9aa887b69c553d823"; } } } } function mpFormf8934494ddd24bd38b48f2cab94e0c0fCheck() { let checkBoxes = document.getElementById("mpform-f8934494ddd24bd38b48f2cab94e0c0f").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 mpFormf8934494ddd24bd38b48f2cab94e0c0fSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-f8934494ddd24bd38b48f2cab94e0c0f").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-f8934494ddd24bd38b48f2cab94e0c0f").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-f8934494ddd24bd38b48f2cab94e0c0f").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-f8934494ddd24bd38b48f2cab94e0c0f')), 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: getTrackingIdf8934494ddd24bd38b48f2cab94e0c0f() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-f8934494ddd24bd38b48f2cab94e0c0f").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-f8934494ddd24bd38b48f2cab94e0c0f").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) { mpFormf8934494ddd24bd38b48f2cab94e0c0fCheck(); 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-f8934494ddd24bd38b48f2cab94e0c0f').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-f8934494ddd24bd38b48f2cab94e0c0f").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-f8934494ddd24bd38b48f2cab94e0c0f').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm08c8aeccae274ba9aa887b69c553d823); } else { mpFormf8934494ddd24bd38b48f2cab94e0c0fCheck(); 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 mpmRecaptchaLoadedf8934494ddd24bd38b48f2cab94e0c0f() { captchaWidgetmpFrm08c8aeccae274ba9aa887b69c553d823 = grecaptcha.render('mpmRecaptchampFrm08c8aeccae274ba9aa887b69c553d823', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdf8934494ddd24bd38b48f2cab94e0c0f() { 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 mpmFormInitf8934494ddd24bd38b48f2cab94e0c0f () { 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 finishedLoadingf8934494ddd24bd38b48f2cab94e0c0f() { window.mpFormLoading = false; let container = document.getElementById('mpFrm08c8aeccae274ba9aa887b69c553d823'); if (!container) { mpFormmpFrm08c8aeccae274ba9aa887b69c553d823Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm08c8aeccae274ba9aa887b69c553d823'); return setTimeout(finishedLoadingf8934494ddd24bd38b48f2cab94e0c0f, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-f8934494ddd24bd38b48f2cab94e0c0f").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-f8934494ddd24bd38b48f2cab94e0c0f").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-f8934494ddd24bd38b48f2cab94e0c0f").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-f8934494ddd24bd38b48f2cab94e0c0f").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-f8934494ddd24bd38b48f2cab94e0c0f").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=mpmRecaptchaLoadedf8934494ddd24bd38b48f2cab94e0c0f&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupf8934494ddd24bd38b48f2cab94e0c0f() { let popups = document.getElementById("mpform-f8934494ddd24bd38b48f2cab94e0c0f").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputf8934494ddd24bd38b48f2cab94e0c0f() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingf8934494ddd24bd38b48f2cab94e0c0f(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingf8934494ddd24bd38b48f2cab94e0c0f(); } } 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); mploadTelInputf8934494ddd24bd38b48f2cab94e0c0f(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitf8934494ddd24bd38b48f2cab94e0c0f(); } else { function waitForOtherFormsmpFrm08c8aeccae274ba9aa887b69c553d823() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitf8934494ddd24bd38b48f2cab94e0c0f(); } else { setTimeout(waitForOtherFormsmpFrm08c8aeccae274ba9aa887b69c553d823,300); } } waitForOtherFormsmpFrm08c8aeccae274ba9aa887b69c553d823(); }