var captchaWidgetmpFrmb33fbfd878f844598c95a67d6614092c; var mpCurrentScriptmpFrmb33fbfd878f844598c95a67d6614092cContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmb33fbfd878f844598c95a67d6614092c"; 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); mpFormmpFrmb33fbfd878f844598c95a67d6614092cFind(); } })(); function mpFormmpFrmb33fbfd878f844598c95a67d6614092cFind() { if(!mpCurrentScriptmpFrmb33fbfd878f844598c95a67d6614092cContainer) return; if (mpCurrentScriptmpFrmb33fbfd878f844598c95a67d6614092cContainer && mpCurrentScriptmpFrmb33fbfd878f844598c95a67d6614092cContainer.nodeName && mpCurrentScriptmpFrmb33fbfd878f844598c95a67d6614092cContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmb33fbfd878f844598c95a67d6614092c" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmb33fbfd878f844598c95a67d6614092cContainer.children).forEach(c => { if (c.id === "mpFrmb33fbfd878f844598c95a67d6614092c") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptb313337397dd4530bbd83d0328b3a2f7Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmb33fbfd878f844598c95a67d6614092c"; } } } } function mpFormb313337397dd4530bbd83d0328b3a2f7Check() { let checkBoxes = document.getElementById("mpform-b313337397dd4530bbd83d0328b3a2f7").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 mpFormb313337397dd4530bbd83d0328b3a2f7Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-b313337397dd4530bbd83d0328b3a2f7").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-b313337397dd4530bbd83d0328b3a2f7").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-b313337397dd4530bbd83d0328b3a2f7").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-b313337397dd4530bbd83d0328b3a2f7')), 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: getTrackingIdb313337397dd4530bbd83d0328b3a2f7() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-b313337397dd4530bbd83d0328b3a2f7").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-b313337397dd4530bbd83d0328b3a2f7").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) { mpFormb313337397dd4530bbd83d0328b3a2f7Check(); 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-b313337397dd4530bbd83d0328b3a2f7').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-b313337397dd4530bbd83d0328b3a2f7").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-b313337397dd4530bbd83d0328b3a2f7').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmb33fbfd878f844598c95a67d6614092c); } else { mpFormb313337397dd4530bbd83d0328b3a2f7Check(); 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 mpmRecaptchaLoadedb313337397dd4530bbd83d0328b3a2f7() { captchaWidgetmpFrmb33fbfd878f844598c95a67d6614092c = grecaptcha.render('mpmRecaptchampFrmb33fbfd878f844598c95a67d6614092c', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdb313337397dd4530bbd83d0328b3a2f7() { 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 mpmFormInitb313337397dd4530bbd83d0328b3a2f7 () { 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 finishedLoadingb313337397dd4530bbd83d0328b3a2f7() { window.mpFormLoading = false; let container = document.getElementById('mpFrmb33fbfd878f844598c95a67d6614092c'); if (!container) { mpFormmpFrmb33fbfd878f844598c95a67d6614092cFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmb33fbfd878f844598c95a67d6614092c'); return setTimeout(finishedLoadingb313337397dd4530bbd83d0328b3a2f7, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-b313337397dd4530bbd83d0328b3a2f7").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-b313337397dd4530bbd83d0328b3a2f7").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-b313337397dd4530bbd83d0328b3a2f7").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-b313337397dd4530bbd83d0328b3a2f7").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-b313337397dd4530bbd83d0328b3a2f7").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=mpmRecaptchaLoadedb313337397dd4530bbd83d0328b3a2f7&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupb313337397dd4530bbd83d0328b3a2f7() { let popups = document.getElementById("mpform-b313337397dd4530bbd83d0328b3a2f7").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputb313337397dd4530bbd83d0328b3a2f7() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://api.transpond.io/plugins/telNoVerification.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoadingb313337397dd4530bbd83d0328b3a2f7(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingb313337397dd4530bbd83d0328b3a2f7(); } } 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); mploadTelInputb313337397dd4530bbd83d0328b3a2f7(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitb313337397dd4530bbd83d0328b3a2f7(); } else { function waitForOtherFormsmpFrmb33fbfd878f844598c95a67d6614092c() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitb313337397dd4530bbd83d0328b3a2f7(); } else { setTimeout(waitForOtherFormsmpFrmb33fbfd878f844598c95a67d6614092c,300); } } waitForOtherFormsmpFrmb33fbfd878f844598c95a67d6614092c(); }