var captchaWidgetmpFrmd3891d3dcec14be283922bf59b703a19; var mpCurrentScriptmpFrmd3891d3dcec14be283922bf59b703a19Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmd3891d3dcec14be283922bf59b703a19"; 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); mpFormmpFrmd3891d3dcec14be283922bf59b703a19Find(); } })(); function mpFormmpFrmd3891d3dcec14be283922bf59b703a19Find() { if(!mpCurrentScriptmpFrmd3891d3dcec14be283922bf59b703a19Container) return; if (mpCurrentScriptmpFrmd3891d3dcec14be283922bf59b703a19Container && mpCurrentScriptmpFrmd3891d3dcec14be283922bf59b703a19Container.nodeName && mpCurrentScriptmpFrmd3891d3dcec14be283922bf59b703a19Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmd3891d3dcec14be283922bf59b703a19" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmd3891d3dcec14be283922bf59b703a19Container.children).forEach(c => { if (c.id === "mpFrmd3891d3dcec14be283922bf59b703a19") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript50b47fd3f99643148250b8e8719e595dContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmd3891d3dcec14be283922bf59b703a19"; } } } } function mpForm50b47fd3f99643148250b8e8719e595dCheck() { let checkBoxes = document.getElementById("mpform-50b47fd3f99643148250b8e8719e595d").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 mpForm50b47fd3f99643148250b8e8719e595dSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-50b47fd3f99643148250b8e8719e595d").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-50b47fd3f99643148250b8e8719e595d").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-50b47fd3f99643148250b8e8719e595d").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-50b47fd3f99643148250b8e8719e595d')), 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: getTrackingId50b47fd3f99643148250b8e8719e595d() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-50b47fd3f99643148250b8e8719e595d").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-50b47fd3f99643148250b8e8719e595d").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) { mpForm50b47fd3f99643148250b8e8719e595dCheck(); 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-50b47fd3f99643148250b8e8719e595d').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-50b47fd3f99643148250b8e8719e595d").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-50b47fd3f99643148250b8e8719e595d').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmd3891d3dcec14be283922bf59b703a19); } else { mpForm50b47fd3f99643148250b8e8719e595dCheck(); 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 mpmRecaptchaLoaded50b47fd3f99643148250b8e8719e595d() { captchaWidgetmpFrmd3891d3dcec14be283922bf59b703a19 = grecaptcha.render('mpmRecaptchampFrmd3891d3dcec14be283922bf59b703a19', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId50b47fd3f99643148250b8e8719e595d() { 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 mpmFormInit50b47fd3f99643148250b8e8719e595d () { 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 finishedLoading50b47fd3f99643148250b8e8719e595d() { window.mpFormLoading = false; let container = document.getElementById('mpFrmd3891d3dcec14be283922bf59b703a19'); if (!container) { mpFormmpFrmd3891d3dcec14be283922bf59b703a19Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmd3891d3dcec14be283922bf59b703a19'); return setTimeout(finishedLoading50b47fd3f99643148250b8e8719e595d, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-50b47fd3f99643148250b8e8719e595d").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-50b47fd3f99643148250b8e8719e595d").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-50b47fd3f99643148250b8e8719e595d").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-50b47fd3f99643148250b8e8719e595d").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-50b47fd3f99643148250b8e8719e595d").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=mpmRecaptchaLoaded50b47fd3f99643148250b8e8719e595d&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup50b47fd3f99643148250b8e8719e595d() { let popups = document.getElementById("mpform-50b47fd3f99643148250b8e8719e595d").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput50b47fd3f99643148250b8e8719e595d() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading50b47fd3f99643148250b8e8719e595d(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading50b47fd3f99643148250b8e8719e595d(); } } 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); mploadTelInput50b47fd3f99643148250b8e8719e595d(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit50b47fd3f99643148250b8e8719e595d(); } else { function waitForOtherFormsmpFrmd3891d3dcec14be283922bf59b703a19() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit50b47fd3f99643148250b8e8719e595d(); } else { setTimeout(waitForOtherFormsmpFrmd3891d3dcec14be283922bf59b703a19,300); } } waitForOtherFormsmpFrmd3891d3dcec14be283922bf59b703a19(); }