var captchaWidgetmpFrmfd197edd6f834398b720cdfc4a6d9c05; var mpCurrentScriptmpFrmfd197edd6f834398b720cdfc4a6d9c05Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmfd197edd6f834398b720cdfc4a6d9c05"; 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); mpFormmpFrmfd197edd6f834398b720cdfc4a6d9c05Find(); } })(); function mpFormmpFrmfd197edd6f834398b720cdfc4a6d9c05Find() { if(!mpCurrentScriptmpFrmfd197edd6f834398b720cdfc4a6d9c05Container) return; if (mpCurrentScriptmpFrmfd197edd6f834398b720cdfc4a6d9c05Container && mpCurrentScriptmpFrmfd197edd6f834398b720cdfc4a6d9c05Container.nodeName && mpCurrentScriptmpFrmfd197edd6f834398b720cdfc4a6d9c05Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmfd197edd6f834398b720cdfc4a6d9c05" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmfd197edd6f834398b720cdfc4a6d9c05Container.children).forEach(c => { if (c.id === "mpFrmfd197edd6f834398b720cdfc4a6d9c05") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript6aa9857013fc4034810a1270ffd6f9cfContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmfd197edd6f834398b720cdfc4a6d9c05"; } } } } function mpForm6aa9857013fc4034810a1270ffd6f9cfCheck() { let checkBoxes = document.getElementById("mpform-6aa9857013fc4034810a1270ffd6f9cf").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 mpForm6aa9857013fc4034810a1270ffd6f9cfSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-6aa9857013fc4034810a1270ffd6f9cf").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-6aa9857013fc4034810a1270ffd6f9cf").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-6aa9857013fc4034810a1270ffd6f9cf").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-6aa9857013fc4034810a1270ffd6f9cf')), 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: getTrackingId6aa9857013fc4034810a1270ffd6f9cf() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-6aa9857013fc4034810a1270ffd6f9cf").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-6aa9857013fc4034810a1270ffd6f9cf").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) { mpForm6aa9857013fc4034810a1270ffd6f9cfCheck(); 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-6aa9857013fc4034810a1270ffd6f9cf').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-6aa9857013fc4034810a1270ffd6f9cf").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-6aa9857013fc4034810a1270ffd6f9cf').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmfd197edd6f834398b720cdfc4a6d9c05); } else { mpForm6aa9857013fc4034810a1270ffd6f9cfCheck(); 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 mpmRecaptchaLoaded6aa9857013fc4034810a1270ffd6f9cf() { captchaWidgetmpFrmfd197edd6f834398b720cdfc4a6d9c05 = grecaptcha.render('mpmRecaptchampFrmfd197edd6f834398b720cdfc4a6d9c05', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId6aa9857013fc4034810a1270ffd6f9cf() { 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 mpmFormInit6aa9857013fc4034810a1270ffd6f9cf () { 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 finishedLoading6aa9857013fc4034810a1270ffd6f9cf() { window.mpFormLoading = false; let container = document.getElementById('mpFrmfd197edd6f834398b720cdfc4a6d9c05'); if (!container) { mpFormmpFrmfd197edd6f834398b720cdfc4a6d9c05Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmfd197edd6f834398b720cdfc4a6d9c05'); return setTimeout(finishedLoading6aa9857013fc4034810a1270ffd6f9cf, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-6aa9857013fc4034810a1270ffd6f9cf").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-6aa9857013fc4034810a1270ffd6f9cf").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-6aa9857013fc4034810a1270ffd6f9cf").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-6aa9857013fc4034810a1270ffd6f9cf").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-6aa9857013fc4034810a1270ffd6f9cf").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=mpmRecaptchaLoaded6aa9857013fc4034810a1270ffd6f9cf&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup6aa9857013fc4034810a1270ffd6f9cf() { let popups = document.getElementById("mpform-6aa9857013fc4034810a1270ffd6f9cf").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput6aa9857013fc4034810a1270ffd6f9cf() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading6aa9857013fc4034810a1270ffd6f9cf(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading6aa9857013fc4034810a1270ffd6f9cf(); } } 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); mploadTelInput6aa9857013fc4034810a1270ffd6f9cf(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit6aa9857013fc4034810a1270ffd6f9cf(); } else { function waitForOtherFormsmpFrmfd197edd6f834398b720cdfc4a6d9c05() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit6aa9857013fc4034810a1270ffd6f9cf(); } else { setTimeout(waitForOtherFormsmpFrmfd197edd6f834398b720cdfc4a6d9c05,300); } } waitForOtherFormsmpFrmfd197edd6f834398b720cdfc4a6d9c05(); }