“…[12] The Nepali version of the WHOQOL-BREF was used to assess QOL in this study. [13] Nepali version of the WHOQOL-BREF was used in Nepal as well [14] It is a 26 items self-rating questionnaire, giving scores to overall QOL (item 1, 2) and its four dimensions: physical health (e.g., sleep quality, energy and tiredness) (item 3,10,16,15,17,4,18) , psychological health (e.g., positive emotion, self-esteem, personal beliefs) (item 5,7,19,11,26,6), social relationships (e.g., social support and sexual activity) (item 20,22,21), and environmental health (e.g., climate, transportation, and healthcare assistance) (Item 8, 23, 12, 24, 13, 14, 9, 25). Items ask participants to rate their QOL during the last two weeks and each of them are rated on a 5-point Likert scale.…”