Name: __________________________________________ Sex: _________
Grade & Section: _________________________________ Age: _________
Directions: Please indicate your level of satisfaction with each statement by marking (🗸)
next to the option that best represents your actions while reading in English. Your
answers will not be judged and will be kept confidential.
5 — Always
4 — Often
3 — Sometimes
2 — Rarely
1 — Never
I. Students-related Factors
A. Interest 5 4 3 2 1
1. I choose to read books and other reading materials
in my free time.
2. I feel motivated to read when I am assigned a book
to read.
3. I have trouble finding books that interest me.
4. I prefer to watch TV or play video games instead of
reading.
5. I feel confident about my reading abilities.
6. I think reading is helpful in my academic life.
7. I think reading is a waste of time.
8. I read only to get information that I need.
9. I don’t find moral and emotional support coming
from the book that I am reading.
10. I don’t think that reading books is the key outlet for
me.
B. Study Habits
1. I make sure to set aside a specific time each day for 5 4 3 2 1
reading practice.
2. I review and reflect on what I have read to ensure
that I have understood it.
3. I make an effort to understand the vocabulary and
language used in the texts I read.
4. I read at a place that allows me to fully
comprehend the material.
5. I summarize what I have read after finishing a book
or article.
6. I practice reading out loud to improve my fluency
and pronunciation.
7. I actively participate in class discussions about the
readings assigned.
8. I read many different reference books.
9. I take notes properly during class.
10. I look at my cellphone or send text messages during
class.
C. Attention span 5 4 3 2 1
1. How often do you ask questions while reading to
clarify information?
2. How often do you feel like you can understand
texts written?
3. How often do you find yourself losing focus when
reading a long passage?
4. How often do you find yourself re-reading
passages to better understand them?
5. How often do you find yourself feeling drowsy or
tired while reading?
6. How often do you find yourself losing focus when
listening to someone who is reading a long
passage?
7. How long can you focus on reading without getting
distracted?
8. Does the light in your classroom affect your
reading comprehension?
9. Can you study in a room where the temperature is
not too warm?
10. Do you study facing the wall of your room to
minimize distracting sights?
II. Teacher-related Factor
A. Teaching Style 5 4 3 2 1
1. Does the teacher provide enough time for you to
understand what you are reading?
2. Does the teacher provide opportunities for you to
practice your reading skills in class?
3. Does the teacher provide feedback on your reading
performance in class?
4. Does the teacher encourage you to read more on
your own time?
5. Does the teacher make the reading material
engaging and interesting for you?
6. Does the teacher update with present trends that
are relevant to the subject matter?
7. The teacher give so many reading tasks embedded
in the reading components of the English Language
Curriculum?
8. Does the teachers ask you questions about what
you read?
9. Does the teacher allows you to use dictionary to
improve your reading comprehension skills?
10. Does the teacher gives you reading test?
B. Teacher's Attitude 5 4 3 2 1
1. The teacher encourages me to read and discuss
what I have read.
2. The teacher helps me understand what I am
reading.
3. The teacher provides feedback on my reading
comprehension skills.
4. The teacher makes reading enjoyable and relevant.
5. The teacher uses different strategies to help me
improve my reading comprehension skills.
6. The teacher give me more time to comprehend
what I’m reading.
7. The teacher is very approachable.
8. The teacher introduces technical vocabulary to
students in content classes before they meet those
terms in a reading passage.
9. The teachers help students learn to set purposes for
reading.
10. The teachers are knowledgeable with theoretical
concepts of the reading process.