About this template
Ensuring client safety and health readiness is essential before planning any trip. This Travel Risk Assessment Google Form Template helps travel agencies, tour operators, and wellness planners systematically collect crucial health histories, emergency contacts, and destination details from travellers.
Designed to streamline pre-trip preparations, the form gathers necessary information on chronic medical conditions, allergies, past vaccinations, current medications, and travel insurance status. By organizing these details digitally before departure, travel coordinators can quickly identify potential health risks, arrange necessary medical accommodations, and provide better support in the event of an emergency abroad.
With Doc2Form, you can instantly turn this template into a live Google Form, making it easy to share with clients via email or embed directly into your agency website. Keep all trip health data securely organized in Google Sheets for quick review by your support team.
Key features
- Collect comprehensive traveller medical history and vaccine records in one step.
- Capture vital emergency contact details and insurance status instantly.
- Streamline pre-trip health evaluations for international and domestic travel.
- Organize all responses directly in Google Sheets for quick team access.
Use cases
Pre-trip health screenings for international group tours and adventur…
Pre-trip health screenings for international group tours and adventure travel.
Client intake for bespoke travel planning agencies and destination re…
Client intake for bespoke travel planning agencies and destination retreats.
Medical accommodation assessments for corporate travel management.
Student health and safety clearance forms for study abroad programs.
What this form collects
- Full Name (Short answer)Enter your first and last name as it appears on your passport.
- Email Address (Short answer)We will send your trip safety guidelines and confirmation here.
- Phone Number (Short answer)Include country code if travelling internationally.
- Birth Date (Date)Format: MM/DD/YYYY
- Gender (Dropdown)Select your gender for official travel documentation purposes.
- Residential Address (Paragraph)Enter your home street address, city, state, and postal code.
- Country to be Visited (Short answer)List all primary countries and major cities on your itinerary.
- Travel Insurance Status (Multiple choice)Do you have active travel insurance covering medical evacuation and care?
- Travel Type & Trip Purpose (Dropdown)Select the option that best describes the nature of your trip.
- Personal Medical History (Paragraph)List any chronic conditions, recent surgeries, physical limitations, or severe allergies we should know about.
- Current Medications (Paragraph)List any prescription medications you take regularly, including dosage details.
- Vaccines Taken (Paragraph)List any relevant past vaccinations (e.g., yellow fever, tetanus, routine travel boosters).
- Emergency Contact Full Name (Short answer)Provide the name of someone not travelling with you who can be reached in an emergency.
- Emergency Contact Relationship (Short answer)E.g., Spouse, Parent, Sibling, Close Friend.
- Emergency Contact Phone Number (Short answer)Include country code for international contacts.
FAQ
How do I use this travel risk assessment template?
Simply click to convert this template into your own Google Form using Doc2Form. You can then customize questions, adjust settings, and send the form link directly to your clients.
Can I customize the questions for specific trips?
Yes. Once the template is in your Google Forms account, you can freely add, remove, or edit any question to fit your agency's exact requirements.
Where is the traveller data stored?
All form submissions are saved securely in your Google Drive and linked Google Sheets spreadsheet, giving you complete ownership and control over your client data.
Is this form mobile-friendly for travellers?
Yes. Google Forms are fully responsive, allowing travellers to complete their medical history and trip details easily from their smartphones or tablets before departure.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.