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

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

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3 State of Alabama Well-Being Ranking from data collected January 2, December 30, 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 Life 31 Emo Phy Hea 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 30 NY NY 31 AK AK 32 NJ NJ 33 GA GA 34 FL FL 35 NC NC 36 MI MI 37 RI RI 38 MO MO NV NV 40 SC SC OK OK 42 IN IN 43 LA LA 44 OH OH AL AL 46 AR AR 47 TN TN 48 MS MS 49 KY KY 50 WV WV

4 Alabama MSA Rankings Ranking from data collected January 2, December 30, 2012 Population Huntsville 333,218 Montgomery 290,232 Columbus 231,265 Birmingham, Hoover 866,810 Mobile 310,158 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 Alabama Congressional District Rankings Ranking from data collected January 2, December 30, 2012 Overall Rank Life Evaluation Emotional Health Physical Health Healthy Behavior Work Environment Basic Access AL-01 AL-02 AL-03 AL-04 AL 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

6 Alabama Congressional District Rankings Ranking from data collected January 2, December 30, 2012 Overall Rank Life Evaluation Emotional Health Physical Health Healthy Behavior Work Environment Basic Access AL-06 AL 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 State Congressional District Definitions 1.00 Congressional District #1 Baldwin County, Butler County, Clarke County, Conecuh County, Covington County, Escambia County, Mobile County, Monroe County, Washington County, Wilcox County Andalusia, Atmore, Axis, Bay Minette, Bayou la Batre, Beatrice, Bon Secour, Brewton, Campbell, Castleberry, Chatom, Chunchula, Citronelle, Coden, Coffeeville, Creola, Daphne, Dauphin Island, Deer Park, Eight Mile, Elberta, Evergreen, Fairhope, Flomaton, Foley, Franklin, Frankville, Frisco City, Fruitdale, Fulton, Georgiana, Grand Bay, Grove Hill, Gulf Shores, Irvington, Jackson, Leroy, Lillian, Little River, Lower Peach Tree, Loxley, MC Intosh, Millry, Mobile, Monroeville, Mount Vernon, Orange Beach, Perdido, Peterman, Repton, Robertsdale, Saint Stephens, Saraland, Satsuma, Seminole, Semmes, Silverhill, Spanish Fort, Stapleton, Stockton, Summerdale, Theodore, Thomasville, Tibbie, Uriah, Vinegar Bend, Vredenburgh, Wagarville, Whatley, Wilmer, Wing 2.00 Congressional District #2 Autauga County, Barbour County, Bullock County, Butler County, Chilton County, Coffee County, Conecuh County, Coosa County, Covington County, Crenshaw County, Dale County, Dallas County, Elmore County, Escambia County, Geneva County, Henry County, Houston County, Lowndes County, Monroe County, Montgomery County, Pike County, Russell County, Tallapoosa County Abbeville, Alexander City, Andalusia, Ariton, Ashford, Atmore, Autaugaville, Banks, Billingsley, Black, Brantley, Brewton, Brundidge, Castleberry, Chancellor, Clayton, Clio, Clopton, Coffee Springs, Columbia, Coosada, Cottonwood, Daleville, Deatsville, Dothan, Dozier, Eclectic, Elba, Elmore, Enterprise, Equality, Eufaula, Evergreen, Fitzpatrick, Florala, Forest Home, Fort Deposit, Fort Rucker, Geneva, Georgiana, Glenwood, Gordon, Goshen, Grady, Greenville, Hartford, Hayneville, Headland, Highland Home, Honoraville, Hope Hull, Hurtsboro, Jack, Jones, Kinston, Lapine, Letohatchee, Louisville, Lowndesboro, Luverne, MC Kenzie, Marbury, Midland City, Midway, Millbrook, Minter, Montgomery, New Brockton, Newton, Newville, Opp, Ozark, Pansey, Peterman, Plantersville, Prattville, Ramer, Range, Red Level, Repton, Rutledge, Samson, Sardis, Selma, Shorterville, Skipperville, Slocomb, Tallassee, Titus, Troy, Tyler, Union Springs, Verbena, Webb, Wetumpka, Wing 3.00 Congressional District #3 Barbour County, Bullock County, Calhoun County, Chambers County, Cherokee County, Clay County, Cleburne County, Coosa County, Crenshaw County, DeKalb County, Elmore County, Etowah County, Lee County, Lowndes County, Macon County, Montgomery County, Randolph County, Russell County, Talladega County, Tallapoosa County Alexander City, Alexandria, Alpine, Anniston, Ashland, Auburn, Auburn University, Camp Hill, Cecil, Cedar Bluff, Centre, Childersburg, Collinsville, Cragford, Cusseta, Dadeville, Daviston, Delta, Eastaboga, Equality, Eufaula, Fitzpatrick, Five Points, Fort Davis, Fort Mitchell, Fort Payne, Fruithurst, Gadsden, Gaylesville, Goodwater, Grady, Graham, Hardaway, Hatchechubbee, Heflin, Hope Hull, Hurtsboro, Jacksons Gap, Jacksonville, Kellyton, Lafayette, Lanett, Lapine, Leesburg, Letohatchee, Lincoln, Lineville, Mathews, Millerville, Montgomery, Munford, Muscadine, Notasulga, Ohatchee, Opelika, Oxford, Phenix City, Piedmont, Pike Road, Pittsview, Ramer, Ranburne, Roanoke, Rockford, Salem, Seale, Shorter, Smiths Station, Sylacauga, Talladega, Tallassee, Titus, Tuskegee, Tuskegee Institute, Union Springs, Valley, Wadley, Waverly, Weaver, Wedowee, Wellington, Woodland

8 State Congressional District Definitions 4.00 Congressional District #4 Blount County, Calhoun County, Cullman County, DeKalb County, Etowah County, Fayette County, Franklin County, Jackson County, Jefferson County, Lamar County, Lawrence County, Madison County, Marion County, Marshall County, Morgan County, Pickens County, St. Clair County, Walker County, Winston County Addison, Albertville, Altoona, Arab, Arley, Ashville, Attalla, Baileyton, Bankston, Bear Creek, Beaverton, Berry, Blountsville, Boaz, Bremen, Brilliant, Carbon Hill, Carrollton, Cleveland, Collinsville, Cordova, Crane Hill, Crossville, Cullman, Danville, Dawson, Decatur, Detroit, Dora, Double Springs, Eldridge, Empire, Ethelsville, Eva, Falkville, Fayette, Flat Rock, Fort Payne, Fyffe, Gadsden, Gallant, Geraldine, Gordo, Grant, Groveoak, Guin, Guntersville, Hackleburg, Haleyville, Hamilton, Hanceville, Hartselle, Hayden, Henagar, Higdon, Hodges, Holly Pond, Horton, Houston, Ider, Jasper, Joppa, Kennedy, Laceys Spring, Langston, Locust Fork, Logan, Lynn, Mentone, Millport, Nauvoo, New Hope, Oakman, Ohatchee, Oneonta, Parrish, Phil Campbell, Piedmont, Pinson, Quinton, Rainbow City, Rainsville, Red Bay, Reform, Remlap, Russellville, Scottsboro, Section, Somerville, Springville, Spruce Pine, Steele, Sulligent, Sumiton, Sylvania, Townley, Trafford, Trinity, Union Grove, Valhermoso Springs, Valley Head, Vernon, Vina, Vinemont, Warrior, Winfield, Woodville 5.00 Congressional District #5 Colbert County, DeKalb County, Franklin County, Jackson County, Lauderdale County, Lawrence County, Limestone County, Madison County, Morgan County, Winston County Anderson, Ardmore, Athens, Bridgeport, Brownsboro, Bryant, Cherokee, Courtland, Danville, Decatur, Dutton, Elkmont, Estillfork, Fackler, Flat Rock, Florence, Gurley, Haleyville, Hartselle, Harvest, Hazel Green, Henagar, Higdon, Hillsboro, Hollytree, Hollywood, Huntsville, Killen, Langston, Leighton, Lester, Lexington, Madison, Meridianville, Moulton, Mount Hope, Muscle Shoals, New Hope, New Market, Owens Cross Roads, Paint Rock, Pisgah, Princeton, Rogersville, Russellville, Scottsboro, Section, Sheffield, Stevenson, Tanner, Toney, Town Creek, Trenton, Trinity, Tuscumbia, Waterloo, Woodville 6.00 Congressional District #6 Autauga County, Bibb County, Blount County, Chilton County, Coosa County, Dallas County, Fayette County, Jefferson County, Pickens County, Shelby County, St. Clair County, Talladega County, Tuscaloosa County, Walker County Adamsville, Adger, Alabaster, Ashville, Berry, Bessemer, Billingsley, Birmingham, Brent, Brierfield, Brookwood, Buhl, Calera, Centreville, Chelsea, Clanton, Coker, Columbiana, Cottondale, Cropwell, Dora, Echola, Elrod, Empire, Fayette, Fultondale, Gardendale, Goodwater, Gordo, Graysville, Harpersville, Hayden, Helena, Jemison, Kimberly, Lawley, Leeds, MC Calla, Maplesville, Marbury, Maylene, Montevallo, Moody, Morris, Mount Olive, Mulga, Northport, Oakman, Odenville, Pelham, Pell City, Pinson, Plantersville, Pleasant Grove, Quinton, Ragland, Ralph, Randolph, Remlap, Riverside, Rockford, Shelby, Springville, Stanton, Steele, Sterrett, Sylacauga, Thorsby, Trafford, Trussville, Tuscaloosa, Vance, Vandiver, Verbena, Vincent, Warrior, Weogufka, West Blocton, Wilsonville, Woodstock

9 State Congressional District Definitions 7.00 Congressional District #7 Autauga County, Bibb County, Choctaw County, Clarke County, Dallas County, Greene County, Hale County, Jefferson County, Lamar County, Lowndes County, Marengo County, Perry County, Pickens County, Sumter County, Tuscaloosa County, Washington County, Wilcox County Adamsville, Adger, Akron, Alberta, Aliceville, Arlington, Bessemer, Birmingham, Boligee, Brent, Brookside, Brookwood, Buhl, Butler, Camden, Campbell, Carlton, Carrollton, Catherine, Centreville, Coffeeville, Cottondale, Coy, Cuba, Demopolis, Dickinson, Dixons Mills, Dolomite, Duncanville, Emelle, Epes, Ethelsville, Eutaw, Fairfield, Faunsdale, Forkland, Fosters, Fulton, Fultondale, Gainestown, Gainesville, Gallion, Gilbertown, Graysville, Greensboro, Grove Hill, Jachin, Jackson, Jones, Knoxville, Lawley, Linden, Lisman, Livingston, Lower Peach Tree, MC Calla, Magnolia, Marion, Marion Junction, Millport, Millry, Minter, Moundville, Mount Olive, Mulga, Needham, Newbern, Northport, Orrville, Pennington, Pine Apple, Pine Hill, Pinson, Plantersville, Pleasant Grove, Ralph, Reform, Safford, Sardis, Sawyerville, Selma, Silas, Sweet Water, Thomaston, Thomasville, Toxey, Tuscaloosa, Tyler, Uniontown, Vance, Ward, Whatley, Woodstock, York

10 About the State, Congressional District & MSA Reports Survey Dates: January 2, 2012 through December 30, 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* 309 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 300 +/-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."

11 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.

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