We propose to translate, back translate and assess the sematic and conceptual equivalence of the following tools. They are Minnesota Living with Heart Failure Questionnaire (MLHFQ), Kansas City cardiomyopathy questionnaire (KCCQ), self-care of Heart Failure Index (SCHFI), Dutch Heart Failure Knowledge Scale, and heart failure compliance scale. We will explore cultural appropriateness of each items in the above tools. The face validity will be assessed by the experts in the field and it will be pilot tested in 50 number of participants.