Nepal is a mountainous country with low energy use so far and its climatic patterns remarkably differ from one place to another due to its geographical variation. In the north, summer is cool and winter is severe, while in the south, summer is tropical and winter is mild. Each year, harsh thermal environment creates serious health problems ranging from discomfort to illness and even to death. Household energy availability is one of the important ingredients required to provide the occupants with adequate indoor thermal environments, with which they can minimize thermal dissatisfaction. In order to get quantitative information on this issue, a series of survey on household energy-use patterns and the indoor thermal environmental characteristics in three different climatic regions was carried out in winter season of 2018. The survey results showed that most of the indoor air temperature of investigated houses in three climatic regions were lower than the values given as adaptive comfort standard. Average measured indoor air temperature was 8.0 °C, 13.9 °C and 12.8 °C, respectively, and per-capita daily energy use was 37, 30 and 20 MJ/(person · day) in cold, temperate and sub-tropical regions, respectively. Firewood, electricity and liquefied petroleum gas (LPG) were found as the major energy carriers used in the studied households. The present finding suggests that a substantial improvements of the indoor thermal environment by improving thermal insulation of building envelopes together with rationally small energy use must be required for the well-being of the people in all three regions. This survey results are hopefully useful to understand the current energy-use situation and thermal environment of existing residential buildings in Nepal and thereby to assist the policy formulation for better indoor thermal environment of existing buildings with low energy use.