A travel anxiety questionnaire is the process of assessing the level of anxiety in an individual while travelling. It helps to analyze whether the individual feels safe or unsafe while travelling on a journey. It helps to understand the possible reasons that make an individual nervous while travelling and also helps to give better travelling experience to the travellers.

Sample Travel anxiety questionnaire

Name of the traveler: ______________

Address: Street address ___________ City _________ State _______________ Zip code _______

Phone number: ________________

Mobile number: ________________

E mail id: ____________

Q1. Do you travel in your own vehicle?

a)   Yes, always

b)   No, I travel in public transport

c)   Sometimes I do, only for short journeys

Q2. If yes, what kind of vehicle do you have?

a)   Four wheeler

b)   Two wheeler

c)   Three wheeler

Q3. Describe your experience while travelling by driving yourself?

a)   I find it exciting

b)   I find it difficult to drive

c)   I am scared of the traffic

d)   Other (please specify): ___________

Q4. How anxious are you while travelling?

a)   Very anxious

b)   Anxious

c)   Somewhat anxious

d)   Not anxious at all

Q5. Do you have fear of travelling on flight?

a)   Yes

b)   No

Q6. If yes, what is your reason for fear of travelling on flight?

a)   I have vertigo

b)   Fear of plane crashing

c)   Fear of bad weather

d)   Other (please specify): ___________

Q7. Would you prefer to travel during bad weather?

a)   Yes

b)   No

c)   It depends

Q8. What are the vehicles that you are anxious to travel in?