var captchaWidgetmpFrmcb4bb512ee3e4b9f8a837c98bb214af4; var mpCurrentScriptmpFrmcb4bb512ee3e4b9f8a837c98bb214af4Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmcb4bb512ee3e4b9f8a837c98bb214af4"; 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); mpFormmpFrmcb4bb512ee3e4b9f8a837c98bb214af4Find(); } })(); function mpFormmpFrmcb4bb512ee3e4b9f8a837c98bb214af4Find() { if(!mpCurrentScriptmpFrmcb4bb512ee3e4b9f8a837c98bb214af4Container) return; if (mpCurrentScriptmpFrmcb4bb512ee3e4b9f8a837c98bb214af4Container && mpCurrentScriptmpFrmcb4bb512ee3e4b9f8a837c98bb214af4Container.nodeName && mpCurrentScriptmpFrmcb4bb512ee3e4b9f8a837c98bb214af4Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmcb4bb512ee3e4b9f8a837c98bb214af4" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmcb4bb512ee3e4b9f8a837c98bb214af4Container.children).forEach(c => { if (c.id === "mpFrmcb4bb512ee3e4b9f8a837c98bb214af4") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript6091457f5e7c49fe91292b2a3a163a54Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmcb4bb512ee3e4b9f8a837c98bb214af4"; } } } } function mpForm6091457f5e7c49fe91292b2a3a163a54Check() { let checkBoxes = document.getElementById("mpform-6091457f5e7c49fe91292b2a3a163a54").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 mpForm6091457f5e7c49fe91292b2a3a163a54Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-6091457f5e7c49fe91292b2a3a163a54").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-6091457f5e7c49fe91292b2a3a163a54").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-6091457f5e7c49fe91292b2a3a163a54").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-6091457f5e7c49fe91292b2a3a163a54')), 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: getTrackingId6091457f5e7c49fe91292b2a3a163a54() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-6091457f5e7c49fe91292b2a3a163a54").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-6091457f5e7c49fe91292b2a3a163a54").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) { mpForm6091457f5e7c49fe91292b2a3a163a54Check(); 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-6091457f5e7c49fe91292b2a3a163a54').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-6091457f5e7c49fe91292b2a3a163a54").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-6091457f5e7c49fe91292b2a3a163a54').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmcb4bb512ee3e4b9f8a837c98bb214af4); } else { mpForm6091457f5e7c49fe91292b2a3a163a54Check(); 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 mpmRecaptchaLoaded6091457f5e7c49fe91292b2a3a163a54() { captchaWidgetmpFrmcb4bb512ee3e4b9f8a837c98bb214af4 = grecaptcha.render('mpmRecaptchampFrmcb4bb512ee3e4b9f8a837c98bb214af4', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId6091457f5e7c49fe91292b2a3a163a54() { 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 mpmFormInit6091457f5e7c49fe91292b2a3a163a54 () { 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 finishedLoading6091457f5e7c49fe91292b2a3a163a54() { window.mpFormLoading = false; let container = document.getElementById('mpFrmcb4bb512ee3e4b9f8a837c98bb214af4'); if (!container) { mpFormmpFrmcb4bb512ee3e4b9f8a837c98bb214af4Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmcb4bb512ee3e4b9f8a837c98bb214af4'); return setTimeout(finishedLoading6091457f5e7c49fe91292b2a3a163a54, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-6091457f5e7c49fe91292b2a3a163a54").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-6091457f5e7c49fe91292b2a3a163a54").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-6091457f5e7c49fe91292b2a3a163a54").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-6091457f5e7c49fe91292b2a3a163a54").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-6091457f5e7c49fe91292b2a3a163a54").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=mpmRecaptchaLoaded6091457f5e7c49fe91292b2a3a163a54&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup6091457f5e7c49fe91292b2a3a163a54() { let popups = document.getElementById("mpform-6091457f5e7c49fe91292b2a3a163a54").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput6091457f5e7c49fe91292b2a3a163a54() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading6091457f5e7c49fe91292b2a3a163a54(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading6091457f5e7c49fe91292b2a3a163a54(); } } 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); mploadTelInput6091457f5e7c49fe91292b2a3a163a54(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit6091457f5e7c49fe91292b2a3a163a54(); } else { function waitForOtherFormsmpFrmcb4bb512ee3e4b9f8a837c98bb214af4() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit6091457f5e7c49fe91292b2a3a163a54(); } else { setTimeout(waitForOtherFormsmpFrmcb4bb512ee3e4b9f8a837c98bb214af4,300); } } waitForOtherFormsmpFrmcb4bb512ee3e4b9f8a837c98bb214af4(); }