<div id="qode_shortcode_form_wrapper">
    <form id="qode_shortcode_form" name="qode_shortcode_form" method="post" action="">
        <div class="input">
            <label>Percentage</label>
            <input name="percentage" id="percentage" value="" size="10" />
        </div>
        <div class="input">
            <label>Percentage Color</label>
            <div class="colorSelector"><div style=""></div></div>
            <input name="percentage_color" id="percentage_color" value="" size="10" />
        </div>
        <div class="input">
            <label>Bar Active Color</label>
            <div class="colorSelector"><div style=""></div></div>
            <input name="active_color" id="active_color" value="" size="10" />
        </div>
        <div class="input">
            <label>Bar Inactive Color</label>
            <div class="colorSelector"><div style=""></div></div>
            <input name="noactive_color" id="noactive_color" value="" size="10" />
        </div>
        <div class="input">
            <label>Pie Chart Line Width (px)</label>
            <input name="line_width" id="line_width" value="" size="10" />
        </div>
        <div class="input">
            <label>Title</label>
            <input name="title" id="title" value="" size="25" />
        </div>
        <div class="input">
            <label>Title Tag</label>
            <select name="title_tag" id="title_tag">
                <option value=""></option>
                <option value="h2">h2</option>
                <option value="h3">h3</option>
                <option value="h4">h4</option>
                <option value="h5">h5</option>
                <option value="h6">h6</option>
            </select>
        </div>
        <div class="input">
            <label>Title Color</label>
            <div class="colorSelector"><div style=""></div></div>
            <input name="title_color" id="title_color" value="" size="10" />
        </div>
        <div class="input">
            <label>Text</label>
            <input name="text" id="text" value="" size="55" />
        </div>
        <div class="input">
            <label>Text Color</label>
            <div class="colorSelector"><div style=""></div></div>
            <input name="text_color" id="text_color" value="" size="10" />
        </div>
        <div class="input">
            <input type="submit" name="Insert" id="qode_insert_shortcode_button" value="Submit" />
        </div>
    </form>
</div>