var captchaWidgetmpFrm6a623e161c344298accfaa5950f021fa; var mpCurrentScriptmpFrm6a623e161c344298accfaa5950f021faContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm6a623e161c344298accfaa5950f021fa"; 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); mpFormmpFrm6a623e161c344298accfaa5950f021faFind(); } })(); function mpFormmpFrm6a623e161c344298accfaa5950f021faFind() { if(!mpCurrentScriptmpFrm6a623e161c344298accfaa5950f021faContainer) return; if (mpCurrentScriptmpFrm6a623e161c344298accfaa5950f021faContainer && mpCurrentScriptmpFrm6a623e161c344298accfaa5950f021faContainer.nodeName && mpCurrentScriptmpFrm6a623e161c344298accfaa5950f021faContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm6a623e161c344298accfaa5950f021fa" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm6a623e161c344298accfaa5950f021faContainer.children).forEach(c => { if (c.id === "mpFrm6a623e161c344298accfaa5950f021fa") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript88dbfa658acc4fa680d40a22f96c94a1Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm6a623e161c344298accfaa5950f021fa"; } } } } function mpForm88dbfa658acc4fa680d40a22f96c94a1Check() { let checkBoxes = document.getElementById("mpform-88dbfa658acc4fa680d40a22f96c94a1").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 mpForm88dbfa658acc4fa680d40a22f96c94a1Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-88dbfa658acc4fa680d40a22f96c94a1").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-88dbfa658acc4fa680d40a22f96c94a1").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-88dbfa658acc4fa680d40a22f96c94a1").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-88dbfa658acc4fa680d40a22f96c94a1')), 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: getTrackingId88dbfa658acc4fa680d40a22f96c94a1() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-88dbfa658acc4fa680d40a22f96c94a1").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-88dbfa658acc4fa680d40a22f96c94a1").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) { mpForm88dbfa658acc4fa680d40a22f96c94a1Check(); 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-88dbfa658acc4fa680d40a22f96c94a1').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-88dbfa658acc4fa680d40a22f96c94a1").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-88dbfa658acc4fa680d40a22f96c94a1').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm6a623e161c344298accfaa5950f021fa); } else { mpForm88dbfa658acc4fa680d40a22f96c94a1Check(); 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 mpmRecaptchaLoaded88dbfa658acc4fa680d40a22f96c94a1() { captchaWidgetmpFrm6a623e161c344298accfaa5950f021fa = grecaptcha.render('mpmRecaptchampFrm6a623e161c344298accfaa5950f021fa', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId88dbfa658acc4fa680d40a22f96c94a1() { 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 mpmFormInit88dbfa658acc4fa680d40a22f96c94a1 () { 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 finishedLoading88dbfa658acc4fa680d40a22f96c94a1() { window.mpFormLoading = false; let container = document.getElementById('mpFrm6a623e161c344298accfaa5950f021fa'); if (!container) { mpFormmpFrm6a623e161c344298accfaa5950f021faFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm6a623e161c344298accfaa5950f021fa'); return setTimeout(finishedLoading88dbfa658acc4fa680d40a22f96c94a1, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-88dbfa658acc4fa680d40a22f96c94a1").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-88dbfa658acc4fa680d40a22f96c94a1").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-88dbfa658acc4fa680d40a22f96c94a1").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-88dbfa658acc4fa680d40a22f96c94a1").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-88dbfa658acc4fa680d40a22f96c94a1").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=mpmRecaptchaLoaded88dbfa658acc4fa680d40a22f96c94a1&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup88dbfa658acc4fa680d40a22f96c94a1() { let popups = document.getElementById("mpform-88dbfa658acc4fa680d40a22f96c94a1").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput88dbfa658acc4fa680d40a22f96c94a1() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading88dbfa658acc4fa680d40a22f96c94a1(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading88dbfa658acc4fa680d40a22f96c94a1(); } } 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); mploadTelInput88dbfa658acc4fa680d40a22f96c94a1(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit88dbfa658acc4fa680d40a22f96c94a1(); } else { function waitForOtherFormsmpFrm6a623e161c344298accfaa5950f021fa() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit88dbfa658acc4fa680d40a22f96c94a1(); } else { setTimeout(waitForOtherFormsmpFrm6a623e161c344298accfaa5950f021fa,300); } } waitForOtherFormsmpFrm6a623e161c344298accfaa5950f021fa(); }