The purpose of this project is to determine if a Patient Health Questionnaire (PHQ)-9 is useful in identifying, evaluating, and lowering depression in middle school students. Nurses will administer the Patient Health Questionnaire which consists of nine close-ended questions. The questions will be scored zero to 27. Any positive result (score greater than ten) will be referred to a school counselor for further workup. School counselors will then determine if there is a need to refer students for treatment with a mental health provider or primary care provider.