For headache diagnosis and headache-attributed burden estimation, we used the Headache-Attributed Restriction, Disability, Social Handicap and Impaired Participation (HARDSHIP) questionnaire developed by LTB [6].This modular instrument included demographic enquiry and headache questions for all participants, then, for those reporting headache in the preceding year, diagnostic questions based on ICHD-3 beta followed by enquiries into the multiple components of burden [16]. We translated this into Nepali language following the LTB translation protocol for hybrid documents [17]. We administered the translated version in a pre-pilot study to 20 patients presenting at the Psychiatry Outpatient Department in Dhulikhel Hospital to verify cultural acceptability and inoffensiveness.