A travel phobia questionnaire is helpful to understand if the passenger or the driver feels safe or unsafe while driving or while on a travel journey. This is required to develop better traffic control, road, rail, and air infrastructure, and provide a good travel experience to all the users of public and private transportation.

Sample Travel Phobia questionnaire:

Name:                       ______________________________

Phone number:   ______________________________

Email address:            ______________________________

Full home address:      _____________________________________________

Q1. Do you have your own vehicle?

a)   Yes

b)   No

If ‘yes’, please mention the type of vehicle you have ____________________________

Please proceed further if your answer to the above question is ‘yes’. If your answer is ‘no’, jump to Q8 directly.

Q2. Do you have the necessary license to drive your own vehicle?

a)   Yes

b)   No

If ‘no’, please specify the reason of not taking a driving license


Q3. Tick the right option that you experience during driving your vehicle

a)   It is exciting to drive

b)   Driving is difficult

c)   I am physically not active to drive a vehicle

d)   Other __________________________________________________________

Q4. Please tick the right option that is applicable to you while driving

a)   Very anxious

b)   Moderate anxiety

c)   Little anxiety

d)   No anxiety

Q5. What is the average speed of driving your vehicle?


Q6. Do you drive in the night?

a)   Yes

b)   No

Q7. Do you drive during rain?

a)   Yes

b)   No

Q8. Which of the following vehicles are you afraid of?

a)   Bus

b)   Train

c)   Bike

d)   Plane

e)   Other _______________________________

Q9. Please describe which time of the travel are you most afraid of