2012 State of Well-Being North Carolina

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1 2012 State of Well-Being Community, State and Congressional District Well-Being Reports North Carolina well-beingindex.com

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3 State of North Carolina Well-Being Ranking from data collected January 2, December, Well-Being Overall Life Evaluation Emotional Health Physical Health Healthy Behavior Work Environment Basic Access *#1 is the top Rank and 50 the bottom *#0 is the bottom Result and 100 the top (see methodology for descriptions) *Source: Gallup-Healthways Well-Being Index Survey 2012 n = 353,564 and 2011 n = 353, Wel 35 Life 22 Emo Phy 36 Hea 31 Wor Bas Top Quintile 2nd Quintile 3rd Quintile 4th Quintile 5th Quintile 1 HI HI 2 CO CO 3 MN MN 4 UT UT 5 VT VT 6 MT MT 7 NE NE 8 NH NH 9 IA IA 10 MA MA 11 MD MD 12 SD SD 13 WY WY 14 VA VA 15 WA WA 16 CT CT 17 KS KS 18 CA CA 19 ND ND 20 WI W 21 ME ME 22 ID ID 23 AZ AZ 24 OR OR 25 NM NM 26 DE DE 27 TX TX 28 IL IL 29 PA PA NY NY 31 AK AK 32 NJ NJ GA GA 34 FL FL 35 NC NC 36 MI MI 37 RI RI 38 MO MO 39 NV NV 40 SC SC 41 OK OK 42 IN IN 43 LA LA 44 OH OH 45 AL AL 46 AR AR 47 TN TN 48 MS MS 49 KY KY 50 WV WV

4 North Carolina MSA Rankings Ranking from data collected January 2, December, 2012 Population Raleigh, Cary 888,558 Durham 406,522 Winston, Salem 371,159 Charlotte, Gastonia, Concord 1,366,012 Virginia Beach, Norfolk, Newport News 1,0,393 Asheville 345,719 State Overall Rank Life Evaluation Emotional Health Physical Health Healthy Behavior Work Environment Basic Access *Ranking of 189 Metropolitan Statictical Areas, following U.S. Census Bureau Definitions for Metropolitan Statistical Areas *Source: Gallup-Healthways Index Survey 2012 n = 353,564 and 2011 n = 353,492 *Source: 2013 Nielson Claritas, CBSA Population Top Quintile 2nd Quintile 3rd Quintile 4th Quintile 5th Quintile

5 North Carolina MSA Rankings Ranking from data collected January 2, December, 2012 Population Wilmington 2,467 Greensboro, High Point 568,313 Fayetteville 279,040 Hickory, Lenoir, Morganton 281,435 State Overall Rank Life Evaluation Emotional Health Physical Health Healthy Behavior Work Environment Basic Access *Ranking of 189 Metropolitan Statictical Areas, following U.S. Census Bureau Definitions for Metropolitan Statistical Areas *Source: Gallup-Healthways Index Survey 2012 n = 353,564 and 2011 n = 353,492 *Source: 2013 Nielson Claritas, CBSA Population Top Quintile 2nd Quintile 3rd Quintile 4th Quintile 5th Quintile

6 North Carolina Congressional District Rankings Ranking from data collected January 2, December, 2012 Overall Rank Life Evaluation Emotional Health Physical Health Healthy Behavior Work Environment Basic Access NC-01 NC-02 NC-03 NC-04 NC State *Ranking of 436 Congressional Districts *Source: Gallup-Healthways Index Survey 2012 n = 353,564 and 2011 n = 353,492 Top Quintile 2nd Quintile 3rd Quintile 4th Quintile 5th Quintile

7 North Carolina Congressional District Rankings Ranking from data collected January 2, December, 2012 Overall Rank Life Evaluation Emotional Health Physical Health Healthy Behavior Work Environment Basic Access NC-06 NC-07 NC-08 NC-09 NC State *Ranking of 436 Congressional Districts *Source: Gallup-Healthways Index Survey 2012 n = 353,564 and 2011 n = 353,492 Top Quintile 2nd Quintile 3rd Quintile 4th Quintile 5th Quintile

8 North Carolina Congressional District Rankings Ranking from data collected January 2, December, 2012 Overall Rank Life Evaluation Emotional Health Physical Health Healthy Behavior Work Environment Basic Access NC-11 NC-12 NC State *Ranking of 436 Congressional Districts *Source: Gallup-Healthways Index Survey 2012 n = 353,564 and 2011 n = 353,492 Top Quintile 2nd Quintile 3rd Quintile 4th Quintile 5th Quintile

9 State Congressional District Definitions 1.00 Congressional District #1 Beaufort County, Bertie County, Chowan County, Craven County, Edgecombe County, Gates County, Granville County, Greene County, Halifax County, Hertford County, Jones County, Lenoir County, Martin County, Nash County, Northampton County, Onslow County, Pasquotank County, Perquimans County, Pitt County, Vance County, Warren County, Washington County, Wayne County, Wilson County Ahoskie, Aulander, Aurora, Ayden, Battleboro, Belvidere, Bethel, Blounts Creek, Bullock, Chocowinity, Cofield, Colerain, Como, Conway, Corapeake, Cove City, Creswell, Dover, Dudley, Edenton, Edward, Elizabeth City, Elm City, Enfield, Eure, Farmville, Fountain, Garysburg, Gaston, Gates, Gatesville, Goldsboro, Greenville, Grifton, Grimesland, Halifax, Hamilton, Harrellsville, Havelock, Henderson, Henrico, Hertford, Hobbsville, Hobgood, Hollister, Hookerton, Jackson, Jamesville, Kelford, Kinston, La Grange, Lewiston Woodville, Littleton, Macclesfield, Macon, Manson, Margarettsville, Maysville, Merry Hill, Mount Olive, Murfreesboro, New Bern, Norlina, Oak City, Oxford, Pantego, Pendleton, Pikeville, Pinetops, Pleasant Hill, Plymouth, Pollocksville, Rich Square, Roanoke Rapids, Robersonville, Rocky Mount, Roper, Roxobel, Scotland Neck, Seaboard, Snow Hill, Stantonsburg, Stokes, Sunbury, Tarboro, Trenton, Tyner, Vanceboro, Walstonburg, Warrenton, Washington, Weldon, Whitakers, Williamston, Wilson, Windsor, Winton, Woodland 2.00 Congressional District #2 Alamance County, Chatham County, Cumberland County, Duplin County, Franklin County, Harnett County, Johnston County, Lee County, Nash County, Pender County, Randolph County, Sampson County, Vance County, Wake County, Warren County, Wayne County, Wilson County Angier, Bailey, Battleboro, Bear Creek, Bennett, Benson, Broadway, Bunn, Bunnlevel, Cameron, Castalia, Clayton, Clinton, Coats, Dunn, Elm City, Erwin, Faison, Fayetteville, Fort Bragg, Four Oaks, Franklinton, Fuquay Varina, Garland, Garner, Goldston, Harrells, Henderson, Holly Springs, Ivanhoe, Kenly, Kittrell, Lillington, Linden, Louisburg, Magnolia, Middlesex, Moncure, Mount Olive, Nashville, New Hill, Newton Grove, Pittsboro, Princeton, Raleigh, Rocky Mount, Rose Hill, Roseboro, Salemburg, Sanford, Selma, Siler City, Sims, Smithfield, Snow Camp, Spring Hope, Spring Lake, Staley, Turkey, Wake Forest, Warrenton, Wendell, Whitakers, Willard, Willow Spring, Wilson, Youngsville, Zebulon 3.00 Congressional District #3 Beaufort County, Camden County, Carteret County, Craven County, Currituck County, Dare County, Duplin County, Edgecombe County, Greene County, Hyde County, Johnston County, Jones County, Lenoir County, Martin County, Nash County, Onslow County, Pamlico County, Pitt County, Tyrrell County, Wake County, Washington County, Wayne County, Wilson County Albertson, Arapahoe, Atlantic, Atlantic Beach, Ayden, Aydlett, Bailey, Barco, Bath, Battleboro, Bayboro, Beaufort, Belhaven, Beulaville, Blounts Creek, Camden, Camp Lejeune, Cedar Island, Chinquapin, Chocowinity, Coinjock, Columbia, Corolla, Creswell, Currituck, Deep Run, Dover, Dudley, Elm City, Emerald Isle, Engelhard, Ernul, Fairfield, Farmville, Fountain, Four Oaks, Fremont, Gloucester, Goldsboro, Grandy, Grantsboro, Greenville, Grifton, Grimesland, Harbinger, Harkers Island, Havelock, Hobucken, Holly Ridge, Hubert, Jacksonville, Jarvisburg, Kenansville, Kenly, Kill Devil Hills, Kinston, Kitty Hawk, Knotts Island, La Grange, Lowland, Lucama, Macclesfield, Manns Harbor, Manteo, Maple, Maple Hill, Marshallberg, Maysville, Merritt, Middlesex, Midway Park, Morehead City, Mount Olive, Moyock, Nags Head, Nashville, New Bern, Newport, Ocracoke, Oriental, Pantego, Pikeville, Pinetown, Pink Hill, Point Harbor, Pollocksville, Poplar Branch, Powells Point, Princeton, Richlands, Robersonville, Rocky Mount, Scranton, Sealevel, Seven Springs, Shawboro, Shiloh, Sims, Smyrna, Sneads Ferry, Snow Hill, South Mills, Spring Hope, Stacy, Stantonsburg, Stella, Swanquarter, Swansboro, Tarawa Terrace, Trenton, Vanceboro, Wanchese, Washington, Williamston, Wilson, Winterville, Zebulon

10 State Congressional District Definitions 4.00 Congressional District #4 Alamance County, Chatham County, Durham County, Harnett County, Orange County, Person County, Wake County Angier, Apex, Bahama, Carrboro, Cary, Cedar Grove, Chapel Hill, Durham, Efland, Fuquay Varina, Garner, Hillsborough, Holly Springs, Hurdle Mills, Mebane, Moncure, Morrisville, New Hill, Pittsboro, Raleigh, Rougemont, Siler City, Timberlake, Wake Forest, Willow Spring 5.00 Congressional District #5 Alexander County, Alleghany County, Ashe County, Caldwell County, Catawba County, Davie County, Forsyth County, Guilford County, Iredell County, Rockingham County, Rowan County, Stokes County, Surry County, Watauga County, Wilkes County, Yadkin County Advance, Ararat, Banner Elk, Belews Creek, Blowing Rock, Boomer, Boone, Boonville, Clemmons, Cleveland, Creston, Crumpler, Danbury, Deep Gap, Dobson, East Bend, Elkin, Ennice, Ferguson, Fleetwood, Germanton, Glade Valley, Granite Falls, Grassy Creek, Hamptonville, Harmony, Hays, Hickory, Hiddenite, High Point, Jefferson, Jonesville, Kernersville, King, Lansing, Laurel Springs, Lawsonville, Lewisville, Lowgap, MC Grady, Madison, Millers Creek, Mocksville, Mooresville, Moravian Falls, Mount Airy, Mount Ulla, North Wilkesboro, Olin, Pfafftown, Pilot Mountain, Pine Hall, Piney Creek, Pinnacle, Purlear, Reidsville, Roaring Gap, Roaring River, Ronda, Rural Hall, Sandy Ridge, Siloam, Sparta, State Road, Statesville, Stokesdale, Stony Point, Sugar Grove, Summerfield, Taylorsville, Thurmond, Tobaccoville, Todd, Traphill, Troutman, Union Grove, Vilas, Walkertown, Walnut Cove, Warrensville, West Jefferson, Westfield, Wilkesboro, Winston Salem, Yadkinville, Zionville 6.00 Congressional District #6 Alamance County, Cabarrus County, Chatham County, Davidson County, Forsyth County, Guilford County, Harnett County, Lee County, Montgomery County, Moore County, Randolph County, Richmond County, Rockingham County, Rowan County, Stanly County Aberdeen, Asheboro, Bennett, Biscoe, Browns Summit, Burlington, Cameron, Carthage, China Grove, Climax, Colfax, Denton, Eagle Springs, Elon, Franklinville, Gibsonville, Gold Hill, Graham, Greensboro, Haw River, High Point, Hoffman, Jackson Springs, Jamestown, Julian, Kannapolis, Kernersville, Landis, Lexington, Liberty, MC Leansville, Mebane, Mount Ulla, New London, Oak Ridge, Pinebluff, Pinehurst, Pittsboro, Pleasant Garden, Ramseur, Randleman, Richfield, Robbins, Rockwell, Salisbury, Sanford, Seagrove, Siler City, Snow Camp, Sophia, Southern Pines, Staley, Star, Stokesdale, Summerfield, Thomasville, Trinity, Troy, Vass, West End, Whitsett, Winston Salem

11 State Congressional District Definitions 7.00 Congressional District #7 Bladen County, Brunswick County, Columbus County, Cumberland County, Duplin County, Harnett County, New Hanover County, Onslow County, Pender County, Robeson County, Sampson County Ash, Atkinson, Autryville, Beulaville, Bladenboro, Bolivia, Bolton, Burgaw, Calabash, Carolina Beach, Castle Hayne, Cerro Gordo, Chadbourn, Chinquapin, Clarendon, Clarkton, Clinton, Council, Currie, Delco, Dunn, Elizabethtown, Evergreen, Fair Bluff, Fairmont, Faison, Fayetteville, Fort Bragg, Garland, Godwin, Hallsboro, Hampstead, Harrells, Holly Ridge, Hope Mills, Ivanhoe, Kelly, Kenansville, Kure Beach, Lake Waccamaw, Leland, Linden, Longwood, Lumber Bridge, Lumberton, Magnolia, Maple Hill, Maxton, Nakina, Newton Grove, Oak Island, Ocean Isle Beach, Orrum, Parkton, Pembroke, Pink Hill, Red Springs, Richlands, Riegelwood, Rocky Point, Rose Hill, Roseboro, Rowland, Saint Pauls, Salemburg, Shallotte, Shannon, Southport, Spring Lake, Stedman, Sunset Beach, Supply, Tabor City, Tar Heel, Teachey, Turkey, Wade, Wallace, Warsaw, White Oak, Whiteville, Willard, Wilmington, Winnabow, Wrightsville Beach 8.00 Congressional District #8 Anson County, Cabarrus County, Cumberland County, Hoke County, Mecklenburg County, Montgomery County, Moore County, Randolph County, Richmond County, Robeson County, Rowan County, Scotland County, Stanly County, Union County Aberdeen, Albemarle, Biscoe, Candor, Charlotte, Concord, Ellerbe, Fayetteville, Gibson, Gold Hill, Hamlet, Harrisburg, Hoffman, Hope Mills, Jackson Springs, Kannapolis, Laurel Hill, Laurinburg, Lilesville, Locust, Lumber Bridge, Marshville, Marston, Maxton, Midland, Monroe, Morven, Mount Gilead, Mount Pleasant, New London, Norwood, Oakboro, Parkton, Peachland, Polkton, Raeford, Red Springs, Richfield, Rockingham, Rockwell, Seagrove, Shannon, Stanfield, Star, Troy, Wadesboro, Wagram, Wingate 9.00 Congressional District #9 Cabarrus County, Cleveland County, Gaston County, Lincoln County, Mecklenburg County, Union County Alexis, Belmont, Bessemer City, Charlotte, Cornelius, Cramerton, Crouse, Dallas, Davidson, Gastonia, Huntersville, Indian Trail, Kings Mountain, Lincolnton, Lowell, Marshville, Matthews, Midland, Monroe, Mount Holly, Pineville, Stanley, Waxhaw, Wingate

12 State Congressional District Definitions Congressional District #10 Alexander County, Avery County, Burke County, Caldwell County, Catawba County, Cleveland County, Gaston County, Iredell County, Lincoln County, McDowell County, Mecklenburg County, Mitchell County, Rutherford County, Watauga County, Wilkes County, Yancey County Alexis, Bakersville, Banner Elk, Bessemer City, Blowing Rock, Boomer, Bostic, Casar, Catawba, Cherryville, Claremont, Collettsville, Connellys Springs, Conover, Crouse, Davidson, Denver, Elk Park, Ellenboro, Forest City, Gastonia, Granite Falls, Green Mountain, Grover, Hickory, Hildebran, Hudson, Iron Station, Kings Mountain, Lake Lure, Lawndale, Lenoir, Lincolnton, Maiden, Mooresboro, Mooresville, Morganton, Nebo, Newland, Newton, Rutherfordton, Shelby, Sherrills Ford, Spruce Pine, Stanley, Statesville, Stony Point, Terrell, Troutman, Union Mills, Valdese, Vale Congressional District #11 Buncombe County, Burke County, Cherokee County, Clay County, Graham County, Haywood County, Henderson County, Jackson County, Macon County, Madison County, McDowell County, Polk County, Rutherford County, Swain County, Transylvania County, Yancey County Alexander, Almond, Andrews, Arden, Asheville, Balsam, Balsam Grove, Barnardsville, Black Mountain, Brasstown, Brevard, Bryson City, Burnsville, Candler, Canton, Cashiers, Cedar Mountain, Cherokee, Clyde, Columbus, Cullowhee, East Flat Rock, Etowah, Fairview, Flat Rock, Fletcher, Fontana Dam, Forest City, Franklin, Gerton, Glenville, Green Mountain, Hayesville, Hendersonville, Highlands, Horse Shoe, Hot Springs, Lake Junaluska, Lake Toxaway, Leicester, Maggie Valley, Marble, Marion, Mars Hill, Marshall, Mill Spring, Mooresboro, Morganton, Murphy, Nebo, Old Fort, Otto, Penrose, Pisgah Forest, Robbinsville, Rosman, Rutherfordton, Saluda, Sapphire, Spindale, Swannanoa, Sylva, Topton, Tryon, Tuckasegee, Union Mills, Warne, Waynesville, Weaverville, Whittier, Zirconia Congressional District #12 Cabarrus County, Davidson County, Forsyth County, Guilford County, Iredell County, Mecklenburg County, Rowan County, Stokes County Charlotte, China Grove, Clemmons, Cleveland, Colfax, Concord, Cornelius, Davidson, Germanton, Greensboro, Harrisburg, High Point, Huntersville, Jamestown, Kannapolis, Kernersville, Lexington, Linwood, Mooresville, Mount Ulla, Pfafftown, Pineville, Rural Hall, Salisbury, Spencer, Thomasville, Walkertown, Winston Salem, Woodleaf

13 State Congressional District Definitions Congressional District #13 Alamance County, Caswell County, Franklin County, Granville County, Guilford County, Person County, Rockingham County, Vance County, Wake County Blanch, Browns Summit, Bullock, Burlington, Butner, Cary, Creedmoor, Eden, Elon, Franklinton, Gibsonville, Graham, Greensboro, Haw River, Hurdle Mills, Kittrell, Knightdale, Leasburg, MC Leansville, Madison, Mayodan, Mebane, Milton, Oxford, Pelham, Prospect Hill, Providence, Raleigh, Reidsville, Rolesville, Rougemont, Roxboro, Ruffin, Semora, Stem, Stoneville, Timberlake, Wake Forest, Wendell, Yanceyville, Youngsville, Zebulon

14 About the State, Congressional District & MSA Reports Survey Dates: January 2, 2012 through December, 2012 Sample Information: Total Surveys: Maximum Sample Size: Minimum Sample Size: 353,564 Respondents aged 18 and older 14,544 respondents States: 32,189 respondents Congressional Districts: 2,274 respondents* 9 respondents States: 910 respondents Congressional Districts: 314 respondents* Margin of Error: For results based on the overall 353,564 respondents, one can say with 95% confidence that the maximum margin of sampling error is +/-0.2 percentage points. *For results based on 5,000 +/-1.4 percentage points *For results based on 1,000 +/-3.1 percentage points *For results based on 500 +/-4.4 percentage points *For results based on 0 +/-5.7 percentage points Composite Results: 0 (bottom) to 100 (top) Scale In addition to sampling error, question wording and practical difficulties in conducting surveys can introduce error or bias into the findings of public opinion polls. The Well-Being Index composite result is an average of six domains: life evaluation, emotional health, physical health, healthy behaviors, work environment and basic access. Among states, overall Well-Being Index results ranged from a high of 71.1 (Hawaii) to a low of 61.3 (West Virginia). The 2012 national average for Well-Being was 66.7, Life Evaluation 49.5, Emotional Health 79.4, Physical Health 77.0, Health Behaviors 64.5, Work Environment 47.8 and Basic Access Position Scale: For detailed descriptions of the domains, visit the methodology section of Each state is positioned from 1-50, based on composite scores as compared to all States; Each Congressional District is positioned from 1-436, based on composite scores as compared to all Congressional Districts; Each City (Metropolitan Statistical Area) is positioned from 1-189, based on composite scores as compared to all cities. "The survey methods for Gallup-Healthways Well-Being Index relies on live (not automated) interviewers, dual-frame telephone sampling (which includes listed landlines as well as random digit dial (RDD) wireless phone sampling to reach those in wireless-only households), and a random selection method for choosing respondents within a landline household. Additionally, daily tracking includes Spanish-language interviews for respondents who speak only Spanish, and includes interviews in Alaska and Hawaii. The data are weighted daily to compensate for disproportionalities in selection probabilities and non-response. The data are weighted to match targets from the U.S. Census Bureau by age, sex, region, gender, education, ethnicity and race. The data are weighted to match the Center for Disease Control s National Health Interview Survey targets for telephone status." "The Gallup-Healthways Well-Being Index Composite Score is comprised of six sub-indices: Life Evaluation, Emotional Health, Physical Health, Healthy Behavior, Work Environment and Basic Access. The Life Evaluation Sub-Index is partially based on the Cantril Self-Anchoring Striving Scale and combines the evaluation of one s present life situation with one s anticipated life situation five years from now. The Emotional Health Sub-Index is primarily a composite of respondents daily experiences, asking respondents to think about how they felt yesterday along nine dimensions. The Physical Health Sub-Index is comprised of questions related to: Body Mass Index, disease burden, sick days, physical pain, daily energy, history of disease and daily health experiences. The Healthy Behavior Sub-Index includes items measuring life style habits with established relationships to health outcomes. The Work Environment Sub-Index surveys workers on several factors to gauge their feelings and perceptions about their work environment. The Basic Access Sub-Index is based on thirteen items measuring resident s access to food, shelter, healthcare and a safe and satisfying place to live."

15 Healthways: Gallup: Copyrights 2013 Gallup, Inc, and Healthways, Inc. All rights reserved. Gallup-Healthways Well-Being Index is a registered trademark of Gallup, Inc. All rights reserved.