var captchaWidgetmpFrm08e8693c42fb414cb08a231156687363; var mpCurrentScriptmpFrm08e8693c42fb414cb08a231156687363Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm08e8693c42fb414cb08a231156687363"; 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); mpFormmpFrm08e8693c42fb414cb08a231156687363Find(); } })(); function mpFormmpFrm08e8693c42fb414cb08a231156687363Find() { if(!mpCurrentScriptmpFrm08e8693c42fb414cb08a231156687363Container) return; if (mpCurrentScriptmpFrm08e8693c42fb414cb08a231156687363Container && mpCurrentScriptmpFrm08e8693c42fb414cb08a231156687363Container.nodeName && mpCurrentScriptmpFrm08e8693c42fb414cb08a231156687363Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm08e8693c42fb414cb08a231156687363" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm08e8693c42fb414cb08a231156687363Container.children).forEach(c => { if (c.id === "mpFrm08e8693c42fb414cb08a231156687363") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptfcd06a672b604938b94c3c40fb13ab3aContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm08e8693c42fb414cb08a231156687363"; } } } } function mpFormfcd06a672b604938b94c3c40fb13ab3aCheck() { let checkBoxes = document.getElementById("mpform-fcd06a672b604938b94c3c40fb13ab3a").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 mpFormfcd06a672b604938b94c3c40fb13ab3aSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-fcd06a672b604938b94c3c40fb13ab3a").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-fcd06a672b604938b94c3c40fb13ab3a").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-fcd06a672b604938b94c3c40fb13ab3a").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-fcd06a672b604938b94c3c40fb13ab3a')), 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: getTrackingIdfcd06a672b604938b94c3c40fb13ab3a() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-fcd06a672b604938b94c3c40fb13ab3a").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-fcd06a672b604938b94c3c40fb13ab3a").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) { mpFormfcd06a672b604938b94c3c40fb13ab3aCheck(); 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-fcd06a672b604938b94c3c40fb13ab3a').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-fcd06a672b604938b94c3c40fb13ab3a").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-fcd06a672b604938b94c3c40fb13ab3a').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm08e8693c42fb414cb08a231156687363); } else { mpFormfcd06a672b604938b94c3c40fb13ab3aCheck(); 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 mpmRecaptchaLoadedfcd06a672b604938b94c3c40fb13ab3a() { captchaWidgetmpFrm08e8693c42fb414cb08a231156687363 = grecaptcha.render('mpmRecaptchampFrm08e8693c42fb414cb08a231156687363', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdfcd06a672b604938b94c3c40fb13ab3a() { 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 mpmFormInitfcd06a672b604938b94c3c40fb13ab3a () { 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 finishedLoadingfcd06a672b604938b94c3c40fb13ab3a() { window.mpFormLoading = false; let container = document.getElementById('mpFrm08e8693c42fb414cb08a231156687363'); if (!container) { mpFormmpFrm08e8693c42fb414cb08a231156687363Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm08e8693c42fb414cb08a231156687363'); return setTimeout(finishedLoadingfcd06a672b604938b94c3c40fb13ab3a, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-fcd06a672b604938b94c3c40fb13ab3a").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-fcd06a672b604938b94c3c40fb13ab3a").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-fcd06a672b604938b94c3c40fb13ab3a").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-fcd06a672b604938b94c3c40fb13ab3a").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-fcd06a672b604938b94c3c40fb13ab3a").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=mpmRecaptchaLoadedfcd06a672b604938b94c3c40fb13ab3a&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupfcd06a672b604938b94c3c40fb13ab3a() { let popups = document.getElementById("mpform-fcd06a672b604938b94c3c40fb13ab3a").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputfcd06a672b604938b94c3c40fb13ab3a() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingfcd06a672b604938b94c3c40fb13ab3a(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingfcd06a672b604938b94c3c40fb13ab3a(); } } 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); mploadTelInputfcd06a672b604938b94c3c40fb13ab3a(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitfcd06a672b604938b94c3c40fb13ab3a(); } else { function waitForOtherFormsmpFrm08e8693c42fb414cb08a231156687363() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitfcd06a672b604938b94c3c40fb13ab3a(); } else { setTimeout(waitForOtherFormsmpFrm08e8693c42fb414cb08a231156687363,300); } } waitForOtherFormsmpFrm08e8693c42fb414cb08a231156687363(); }