var captchaWidgetmpFrm955458e3d3b24bf4a502ec23fb003bfb; var mpCurrentScriptmpFrm955458e3d3b24bf4a502ec23fb003bfbContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm955458e3d3b24bf4a502ec23fb003bfb"; 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); mpFormmpFrm955458e3d3b24bf4a502ec23fb003bfbFind(); } })(); function mpFormmpFrm955458e3d3b24bf4a502ec23fb003bfbFind() { if(!mpCurrentScriptmpFrm955458e3d3b24bf4a502ec23fb003bfbContainer) return; if (mpCurrentScriptmpFrm955458e3d3b24bf4a502ec23fb003bfbContainer && mpCurrentScriptmpFrm955458e3d3b24bf4a502ec23fb003bfbContainer.nodeName && mpCurrentScriptmpFrm955458e3d3b24bf4a502ec23fb003bfbContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm955458e3d3b24bf4a502ec23fb003bfb" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm955458e3d3b24bf4a502ec23fb003bfbContainer.children).forEach(c => { if (c.id === "mpFrm955458e3d3b24bf4a502ec23fb003bfb") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript7caf00f77ad64e04a2f36874862f6b7aContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm955458e3d3b24bf4a502ec23fb003bfb"; } } } } function mpForm7caf00f77ad64e04a2f36874862f6b7aCheck() { let checkBoxes = document.getElementById("mpform-7caf00f77ad64e04a2f36874862f6b7a").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 mpForm7caf00f77ad64e04a2f36874862f6b7aSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-7caf00f77ad64e04a2f36874862f6b7a").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-7caf00f77ad64e04a2f36874862f6b7a").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-7caf00f77ad64e04a2f36874862f6b7a").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-7caf00f77ad64e04a2f36874862f6b7a')), 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: getTrackingId7caf00f77ad64e04a2f36874862f6b7a() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-7caf00f77ad64e04a2f36874862f6b7a").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-7caf00f77ad64e04a2f36874862f6b7a").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) { mpForm7caf00f77ad64e04a2f36874862f6b7aCheck(); 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-7caf00f77ad64e04a2f36874862f6b7a').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-7caf00f77ad64e04a2f36874862f6b7a").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-7caf00f77ad64e04a2f36874862f6b7a').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm955458e3d3b24bf4a502ec23fb003bfb); } else { mpForm7caf00f77ad64e04a2f36874862f6b7aCheck(); 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 mpmRecaptchaLoaded7caf00f77ad64e04a2f36874862f6b7a() { captchaWidgetmpFrm955458e3d3b24bf4a502ec23fb003bfb = grecaptcha.render('mpmRecaptchampFrm955458e3d3b24bf4a502ec23fb003bfb', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId7caf00f77ad64e04a2f36874862f6b7a() { 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 mpmFormInit7caf00f77ad64e04a2f36874862f6b7a () { 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 finishedLoading7caf00f77ad64e04a2f36874862f6b7a() { window.mpFormLoading = false; let container = document.getElementById('mpFrm955458e3d3b24bf4a502ec23fb003bfb'); if (!container) { mpFormmpFrm955458e3d3b24bf4a502ec23fb003bfbFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm955458e3d3b24bf4a502ec23fb003bfb'); return setTimeout(finishedLoading7caf00f77ad64e04a2f36874862f6b7a, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-7caf00f77ad64e04a2f36874862f6b7a").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-7caf00f77ad64e04a2f36874862f6b7a").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-7caf00f77ad64e04a2f36874862f6b7a").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-7caf00f77ad64e04a2f36874862f6b7a").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-7caf00f77ad64e04a2f36874862f6b7a").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=mpmRecaptchaLoaded7caf00f77ad64e04a2f36874862f6b7a&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup7caf00f77ad64e04a2f36874862f6b7a() { let popups = document.getElementById("mpform-7caf00f77ad64e04a2f36874862f6b7a").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput7caf00f77ad64e04a2f36874862f6b7a() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading7caf00f77ad64e04a2f36874862f6b7a(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading7caf00f77ad64e04a2f36874862f6b7a(); } } 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); mploadTelInput7caf00f77ad64e04a2f36874862f6b7a(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit7caf00f77ad64e04a2f36874862f6b7a(); } else { function waitForOtherFormsmpFrm955458e3d3b24bf4a502ec23fb003bfb() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit7caf00f77ad64e04a2f36874862f6b7a(); } else { setTimeout(waitForOtherFormsmpFrm955458e3d3b24bf4a502ec23fb003bfb,300); } } waitForOtherFormsmpFrm955458e3d3b24bf4a502ec23fb003bfb(); }