var captchaWidgetmpFrm969eaacd97b24285a9f56a63f3ce7573; var mpCurrentScriptmpFrm969eaacd97b24285a9f56a63f3ce7573Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm969eaacd97b24285a9f56a63f3ce7573"; 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); mpFormmpFrm969eaacd97b24285a9f56a63f3ce7573Find(); } })(); function mpFormmpFrm969eaacd97b24285a9f56a63f3ce7573Find() { if(!mpCurrentScriptmpFrm969eaacd97b24285a9f56a63f3ce7573Container) return; if (mpCurrentScriptmpFrm969eaacd97b24285a9f56a63f3ce7573Container && mpCurrentScriptmpFrm969eaacd97b24285a9f56a63f3ce7573Container.nodeName && mpCurrentScriptmpFrm969eaacd97b24285a9f56a63f3ce7573Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm969eaacd97b24285a9f56a63f3ce7573" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm969eaacd97b24285a9f56a63f3ce7573Container.children).forEach(c => { if (c.id === "mpFrm969eaacd97b24285a9f56a63f3ce7573") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptaf4935d1878044c1913f20f179c86e4bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm969eaacd97b24285a9f56a63f3ce7573"; } } } } function mpFormaf4935d1878044c1913f20f179c86e4bCheck() { let checkBoxes = document.getElementById("mpform-af4935d1878044c1913f20f179c86e4b").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 mpFormaf4935d1878044c1913f20f179c86e4bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-af4935d1878044c1913f20f179c86e4b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-af4935d1878044c1913f20f179c86e4b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-af4935d1878044c1913f20f179c86e4b").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-af4935d1878044c1913f20f179c86e4b')), 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: getTrackingIdaf4935d1878044c1913f20f179c86e4b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-af4935d1878044c1913f20f179c86e4b").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-af4935d1878044c1913f20f179c86e4b").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) { mpFormaf4935d1878044c1913f20f179c86e4bCheck(); 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-af4935d1878044c1913f20f179c86e4b').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-af4935d1878044c1913f20f179c86e4b").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-af4935d1878044c1913f20f179c86e4b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm969eaacd97b24285a9f56a63f3ce7573); } else { mpFormaf4935d1878044c1913f20f179c86e4bCheck(); 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 mpmRecaptchaLoadedaf4935d1878044c1913f20f179c86e4b() { captchaWidgetmpFrm969eaacd97b24285a9f56a63f3ce7573 = grecaptcha.render('mpmRecaptchampFrm969eaacd97b24285a9f56a63f3ce7573', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdaf4935d1878044c1913f20f179c86e4b() { 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 mpmFormInitaf4935d1878044c1913f20f179c86e4b () { 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 finishedLoadingaf4935d1878044c1913f20f179c86e4b() { window.mpFormLoading = false; let container = document.getElementById('mpFrm969eaacd97b24285a9f56a63f3ce7573'); if (!container) { mpFormmpFrm969eaacd97b24285a9f56a63f3ce7573Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm969eaacd97b24285a9f56a63f3ce7573'); return setTimeout(finishedLoadingaf4935d1878044c1913f20f179c86e4b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-af4935d1878044c1913f20f179c86e4b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-af4935d1878044c1913f20f179c86e4b").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-af4935d1878044c1913f20f179c86e4b").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-af4935d1878044c1913f20f179c86e4b").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-af4935d1878044c1913f20f179c86e4b").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=mpmRecaptchaLoadedaf4935d1878044c1913f20f179c86e4b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupaf4935d1878044c1913f20f179c86e4b() { let popups = document.getElementById("mpform-af4935d1878044c1913f20f179c86e4b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputaf4935d1878044c1913f20f179c86e4b() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingaf4935d1878044c1913f20f179c86e4b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingaf4935d1878044c1913f20f179c86e4b(); } } 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); mploadTelInputaf4935d1878044c1913f20f179c86e4b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitaf4935d1878044c1913f20f179c86e4b(); } else { function waitForOtherFormsmpFrm969eaacd97b24285a9f56a63f3ce7573() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitaf4935d1878044c1913f20f179c86e4b(); } else { setTimeout(waitForOtherFormsmpFrm969eaacd97b24285a9f56a63f3ce7573,300); } } waitForOtherFormsmpFrm969eaacd97b24285a9f56a63f3ce7573(); }