| How often in the past 4 weeks have you felt depressed, blue, or in low spirits for most of the day? | Not at all 1 to 3 days a week Most days a week Nearly every day for at least two weeks |
| How often in the past 4 weeks did you have days in which you experienced little or no pleasure in most of your activities? | Not at all 1 to 3 days a week Most days a week Nearly every day for at least two weeks |
| How often in the past 4 weeks has your appetite been either less than usual or greater than usual? | Not at all 1 to 3 days a week Most days a week Nearly every day for at least two weeks |
| In the past 4 weeks, have you gained or lost weight without trying to? | No Yes, a little weight Yes, some weight Yes, a lot of weight |
| How often in the past 4 weeks have you had difficulty sleeping or trouble with sleeping too much? | Not at all 1 to 3 days a week Most days a week Nearly every day for at least two weeks |
| In the past 4 weeks, has your physical activity been slowed down or speeded up so much people who know you could notice? | No Yes, a little slowed or speeded up Yes, somewhat slowed or speeded up Yes, very slowed or speeded up |
| In the past 4 weeks, have you often felt more tired out or less energetic than usual? | No Yes, a little tired Yes, somewhat tired out Yes, very tired out |
| How often in the past 4 weeks have you felt worthless or been bothered by feelings of guilt? | Not at all 1 to 3 days a week Most days a week Nearly every day for at least two weeks |
| In the past 4 weeks, have you often had trouble thinking, concentrating, or making decisions? | No Yes, a little trouble thinking Yes, some trouble thinking Yes, a lot of trouble thinking |
| How often have you thought about death or suicide in the past 4 weeks? | Not at all 1 to 3 days a week Most days a week Nearly every day for at least two weeks |
| In the past 4 weeks, have you thought a lot about a specific way to commit suicide? | No Yes |
D-ARK Severity Scoring
Questions 1-10 are coded as 0 to 3; if Question 11 = 1, then Question 11 = 0; if Question 11 = 2, then Question 11 = 3.
The mean of questions 1-11 is calculated and multiplied by 33.33. This product is the severity score.
If Question 10 is missing (not answered) or two or more questions are missing,severity is not scored.