The 2013 North Carolina Youth Risk Behavior Survey (NCYRBS) was developed by the Centers for Disease Control and Prevention (CDC) and adapted by the North Carolina Department of Public Instruction (NCDPI) to monitor health-risk behaviors and to measure progress toward achieving Healthy North Carolina 2020 objectives. The survey, administered in the spring of 2013 to a stratified sample of students in grades 6-12, measures behaviors relating to personal safety, violence, tobacco, alcohol and other drug use, physical health, nutrition, physical activity, psychological health, and the perceived safety of the school environment. Analysis of differences in subgroups within WCPSS identified several items in which responses varied according to gender, grade level, or race/ethnicity. Male students were more likely to be involved in a fight, carry a weapon, and be physically active more frequently than female students. Female students were more likely to have been bullied, to not feel good about themselves, and to try to lose weight than male students. Students in 7th and 8th grade were more likely to have tried drugs and alcohol than students in 6th grade. Black and Hispanic/Latino students were less likely to have visited a doctor or dentist for a check-up or cleaning than White students. A full list of statistically significant differences is presented in this report. The following is appended: 2013 Wake County North Carolina Youth Risk Behavior Survey Middle School Questionnaire.