In a survey by InterNations, the world’s largest network for people who live and work abroad, the company asked 14,300 expats, representing 174 nationalities and living in 191 countries or territories, to rate 43 different aspects of life abroad on a scale of 1-7.

From this, InterNations calculated the scores to get an overall average of the quality of life of people living in foreign countries.

The Quality of Life index took into account factors such as: Leisure Options; Personal Happiness; Travel & Transport; Health & Well-Being; and Safety & Security.

In January, Business Insider looked at the countries where expats have the best quality of life with Taiwan topping that list. However, for every happy expat there is likely an unhappy one, and as a result, we decided to look at the countries InterNations says offer the worst quality of life. 

Check out the 19 worst places for expat quality of life below: