Patient Health Questionnaires (PHQ; Spitzer, Kroenke, & Williams, 1999). The PHQ is an 11-item self-report measure assessing symptoms of common mental health difficulties (i.e., depression, anxiety, somatoform, alcohol, and eating). The PHQ can be used as a screening tool (Spitzer et al., 1999), a diagnostic tool, and to measure symptom change over time (PHQ Screeners.com, 2010). A version of the PHQ for adolescents exists (PHQ-A, Johnson et al., 2002) although it does not meet our criteria due to its length. Respondents are asked about each symptom: “During the last 2 weeks (or more, depending on symptom), how much have you been bothered by any of the following problems?” Sample items include, “Little interest or pleasure in doing things” and “Feeling tired or having little energy.” Initial studies reveal adequate agreement between PHQ diagnoses and those of independent mental health professionals ( k = .65; Spitzer et al., 1999). The PHQ demonstrates adequate construct validity