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

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3 State of Virginia 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 8 9 Emo 16 Phy Hea Wor Bas 19 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 VA VA WA WA 16 CT CT 17 KS KS 18 CA CA 19 ND ND 20 WI W 21 ME ME 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 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 Virginia MSA Rankings Ranking from data collected January 2, December 30, 2012 Population Washington, Arlington, Alexandria 4,448,924 Charlottesville 165,552 Roanoke 244,189 Richmond 989,305 Lynchburg 202,729 Virginia Beach, Norfolk, Newport News 1,300,393 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 Virginia MSA Rankings Ranking from data collected January 2, December 30, 2012 Population Kingsport, Bristol, Bristol 247,666 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 Virginia 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 VA-01 VA-02 VA-03 VA-04 VA 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 Virginia 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 VA-06 VA-07 VA-08 VA-09 VA 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 Virginia 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 VA 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 Caroline County, Culpeper County, Essex County, Fauquier County, Fredericksburg city, Gloucester County, Hampton city, Hanover County, James City County, King George County, King William County, King and Queen County, Lancaster County, Mathews County, Middlesex County, New Kent County, Newport News city, Northumberland County, Orange County, Poquoson city, Prince William County, Richmond County, Spotsylvania County, Stafford County, Westmoreland County, Williamsburg city, York County Amissville, Aylett, Bealeton, Bohannon, Bowling Green, Bruington, Burgess, Callao, Cardinal, Caret, Catlett, Center Cross, Champlain, Church View, Cobbs Creek, Colonial Beach, Dahlgren, Deltaville, Diggs, Dumfries, Dunnsville, Dutton, Farnham, Foster, Fredericksburg, Gloucester, Gloucester Point, Goldvein, Gwynn, Hague, Hampton, Hanover, Hardyville, Hartfield, Hayes, Heathsville, Hudgins, Hume, Hustle, Irvington, Jamaica, Kilmarnock, King George, King William, King and Queen Court House, Kinsale, Lancaster, Laneview, Lanexa, Little Plymouth, Locust Grove, Locust Hill, Loretto, Lottsburg, Manassas, Manquin, Marshall, Mathews, Mattaponi, Midland, Milford, Montross, Moon, New Point, Newport News, Newtown, Nokesville, North, Onemo, Poquoson, Port Haywood, Port Royal, Quantico, Rappahannock Academy, Reedville, Remington, Ruther Glen, Saint Stephens Church, Saluda, Seaford, Shacklefords, Spotsylvania, Stafford, Stevensville, Sumerduck, Susan, Tappahannock, Toano, Topping, Triangle, Urbanna, Wake, Walkerton, Warrenton, Warsaw, Water View, Weems, West Point, White Stone, Wicomico Church, Williamsburg, Woodbridge, Woodford, Yorktown 2.00 Congressional District #2 Accomack County, Hampton city, Norfolk city, Northampton County, Virginia Beach city Accomac, Assawoman, Atlantic, Belle Haven, Birdsnest, Bloxom, Cape Charles, Chincoteague Island, Exmore, Fort Monroe, Franktown, Greenbackville, Greenbush, Hallwood, Hampton, Horntown, Locustville, Machipongo, Mears, Melfa, Nassawadox, New Church, Norfolk, Oak Hall, Onancock, Onley, Painter, Parksley, Sanford, Tangier, Temperanceville, Virginia Beach, Wallops Island 3.00 Congressional District #3 Charles City County, Chesterfield County, Hampton city, Henrico County, Hopewell city, James City County, King William County, New Kent County, Newport News city, Norfolk city, Portsmouth city, Prince George County, Richmond city, Surry County, Sussex County Barhamsville, Charles City, Dendron, Disputanta, Elberon, Fort Eustis, Hampton, Henrico, Hopewell, Lanexa, New Kent, Newport News, Norfolk, Portsmouth, Prince George, Providence Forge, Quinton, Richmond, Sandston, Spring Grove, Surry, Wakefield, Waverly, West Point, Williamsburg

10 State Congressional District Definitions 4.00 Congressional District #4 Amelia County, Brunswick County, Chesapeake city, Chesterfield County, Colonial Heights city, Dinwiddie County, Franklin city, Greensville County, Hopewell city, Isle of Wight County, Lunenburg County, Nottoway County, Petersburg city, Powhatan County, Prince Edward County, Prince George County, Southampton County, Suffolk city, Sussex County Alberta, Amelia Court House, Blackstone, Boykins, Branchville, Brodnax, Burkeville, Capron, Carrollton, Carrsville, Carson, Chesapeake, Chester, Chesterfield, Church Road, Colonial Heights, Courtland, Crewe, DeWitt, Dinwiddie, Disputanta, Drewryville, Dundas, Emporia, Ford, Fort Lee, Franklin, Freeman, Hopewell, Ivor, Jarratt, Jetersville, MC Kenney, Midlothian, Moseley, Newsoms, Petersburg, Powhatan, Prince George, Rawlings, Rice, Richmond, Sedley, Skippers, Smithfield, Stony Creek, Suffolk, Sutherland, Wakefield, Warfield, Waverly, Wilsons, Windsor, Yale, Zuni 5.00 Congressional District #5 Albemarle County, Amherst County, Appomattox County, Augusta County, Bedford County, Botetourt County, Brunswick County, Buckingham County, Campbell County, Charlotte County, Charlottesville city, Cumberland County, Danville city, Floyd County, Fluvanna County, Franklin County, Goochland County, Greene County, Greensville County, Halifax County, Henry County, Louisa County, Lunenburg County, Lynchburg city, Mecklenburg County, Nelson County, Nottoway County, Orange County, Pittsylvania County, Powhatan County, Prince Edward County, Roanoke County, Rockbridge County Afton, Alberta, Altavista, Alton, Amherst, Appomattox, Arrington, Arvonia, Axton, Barboursville, Baskerville, Bassett, Bedford, Blackstone, Blairs, Blue Ridge, Boones Mill, Boydton, Bracey, Bremo Bluff, Brodnax, Brookneal, Buckingham, Buffalo Junction, Burkeville, Callands, Callaway, Cartersville, Cascade, Charlotte Court House, Charlottesville, Chase City, Chatham, Clarksville, Clover, Collinsville, Columbia, Concord, Covesville, Crozet, Crystal Hill, Cullen, Cumberland, Danville, Dillwyn, Dolphin, Drakes Branch, Dry Fork, Dundas, Dyke, Earlysville, Ebony, Emporia, Esmont, Evington, Faber, Farmville, Ferrum, Fieldale, Floyd, Forest, Fork Union, Free Union, Freeman, Gasburg, Glade Hill, Gladstone, Gladys, Goode, Goodview, Gordonsville, Green Bay, Greenwood, Gretna, Halifax, Hardy, Henry, Howardsville, Huddleston, Hurt, Java, Keeling, Keene, Kenbridge, Kents Store, Keswick, Keysville, La Crosse, Lawrenceville, Long Island, Louisa, Lovingston, Lunenburg, Lynch Station, Lynchburg, Lyndhurst, Martinsville, Meherrin, Moneta, Montebello, Montvale, Nathalie, Nellysford, Nelson, New Canton, North Garden, Palmyra, Pamplin, Penhook, Phenix, Piney River, Pittsville, Powhatan, Prospect, Randolph, Red House, Red Oak, Rice, Ridgeway, Ringgold, Rocky Mount, Roseland, Ruckersville, Rustburg, Sandy Level, Saxe, Schuyler, Scottsburg, Scottsville, Shipman, Skipwith, South Boston, South Hill, Spout Spring, Stanardsville, Stanleytown, Sutherlin, Thaxton, Troy, Tyro, Union Hall, Valentines, Vernon Hill, Vesuvius, Victoria, Vinton, Virgilina, Warfield, White Plains, Wingina, Wirtz, Wylliesburg 6.00 Congressional District #6 Alleghany County, Amherst County, Augusta County, Bath County, Bedford County, Botetourt County, Buena Vista city, Campbell County, Floyd County, Franklin County, Frederick County, Harrisonburg city, Highland County, Lynchburg city, Montgomery County, Nelson County, Page County, Roanoke County, Roanoke city, Rockbridge County, Rockingham County, Salem city, Shenandoah County, Staunton city, Waynesboro city Amherst, Arrington, Basye, Bedford, Bent Mountain, Bergton, Big Island, Blue Grass, Blue Ridge, Boones Mill, Bridgewater, Broadway, Buchanan, Buena Vista, Churchville, Clifton Forge, Cloverdale, Coleman Falls, Copper Hill, Covington, Craigsville, Criders, Crimora, Daleville, Dayton, Deerfield, Doe Hill, Eagle Rock, Edinburg, Elkton, Elliston, Evington, Fairfield, Fincastle, Fishersville, Forest, Fort Defiance, Fort Valley, Fulks Run, Gladstone, Glasgow, Goode, Goshen, Greenville, Grottoes, Hardy, Harrisonburg, Head Waters, Hinton, Hot Springs, Keezletown, Lexington, Linville, Lynchburg, Lyndhurst, MC Dowell, MC Gaheysville, Madison Heights, Maurertown, Middlebrook, Middletown, Millboro, Monroe, Monterey, Montvale, Mount Crawford, Mount Jackson, Mount Sidney, Mount Solon, Natural Bridge, Natural Bridge Station, Nellysford, New Market, Orkney Springs, Penn Laird, Port Republic, Quicksburg, Raphine, Roanoke, Rockbridge Baths, Roseland, Salem, Shenandoah, Singers Glen, Star Tannery, Staunton, Strasburg, Stuarts Draft, Swoope, Thaxton, Timberville, Toms Brook, Troutville, Verona, Vesuvius, Vinton, Warm Springs, Waynesboro, West Augusta, Weyers Cave, Williamsville, Woodstock

11 State Congressional District Definitions 7.00 Congressional District #7 Albemarle County, Caroline County, Chesterfield County, Culpeper County, Fauquier County, Fluvanna County, Goochland County, Hanover County, Henrico County, Louisa County, Madison County, New Kent County, Orange County, Page County, Rappahannock County, Richmond city, Rockingham County, Spotsylvania County, Warren County Amissville, Aroda, Ashland, Banco, Barboursville, Beaverdam, Boston, Brandy Station, Brightwood, Bumpass, Burr Hill, Castleton, Chesterfield, Columbia, Crozier, Culpeper, Doswell, Elkton, Elkwood, Etlan, Flint Hill, Front Royal, Glen Allen, Goochland, Gordonsville, Gum Spring, Hanover, Haywood, Henrico, Huntly, Jeffersonton, Kents Store, Keswick, Lignum, Locust Dale, Locust Grove, Louisa, Luray, Madison, Maidens, Manakin Sabot, Mechanicsville, Midlothian, Milford, Mineral, Mitchells, Montpelier, Moseley, New Kent, Oakpark, Oilville, Orange, Partlow, Pratts, Radiant, Rapidan, Remington, Reva, Rhoadesville, Richardsville, Richmond, Rileyville, Rixeyville, Rochelle, Rockville, Ruther Glen, Sandy Hook, Shenandoah, Somerset, Sperryville, Spotsylvania, Stanley, Stevensburg, Syria, Troy, Unionville, Warrenton, Washington, Woodford, Woodville 8.00 Congressional District #8 Alexandria city, Arlington County, Fairfax County, Falls Church city Alexandria, Annandale, Arlington, Fairfax, Falls Church, Fort Belvoir, Fort Myer, Herndon, Lorton, MC Lean, Oakton, Reston, Springfield, Vienna 9.00 Congressional District #9 Alleghany County, Bland County, Botetourt County, Bristol city, Buchanan County, Carroll County, Craig County, Dickenson County, Floyd County, Franklin County, Galax city, Giles County, Grayson County, Henry County, Lee County, Montgomery County, Norton city, Patrick County, Pulaski County, Radford city, Roanoke County, Russell County, Salem city, Scott County, Smyth County, Tazewell County, Washington County, Wise County, Wythe County Abingdon, Appalachia, Ararat, Atkins, Austinville, Bandy, Barren Springs, Bassett, Bastian, Bee, Bent Mountain, Big Rock, Big Stone Gap, Birchleaf, Blacksburg, Blackwater, Bland, Bluefield, Bristol, Broadford, Cana, Castlewood, Catawba, Cedar Bluff, Ceres, Check, Chilhowie, Christiansburg, Claudville, Cleveland, Clifton Forge, Clinchco, Clintwood, Coeburn, Copper Hill, Covington, Cripple Creek, Critz, Crockett, Damascus, Dante, Davenport, Draper, Dryden, Dublin, Duffield, Dugspur, Dungannon, Eggleston, Elk Creek, Elliston, Ewing, Falls Mills, Fancy Gap, Ferrum, Fieldale, Floyd, Fort Blackmore, Fries, Galax, Gate City, Glade Spring, Glen Lyn, Grundy, Haysi, Hillsville, Hiltons, Hiwassee, Honaker, Hurley, Independence, Indian Valley, Ivanhoe, Jewell Ridge, Jonesville, Keokee, Lambsburg, Laurel Fork, Lebanon, MC Clure, Marion, Martinsville, Max Meadows, Meadows of Dan, Meadowview, Mendota, Mouth of Wilson, Narrows, New Castle, Newport, Nickelsville, Nora, North Tazewell, Norton, Oakwood, Paint Bank, Patrick Springs, Pearisburg, Pembroke, Pennington Gap, Pilgrims Knob, Pilot, Pound, Pounding Mill, Pulaski, Radford, Raven, Rich Creek, Richlands, Ridgeway, Riner, Ripplemead, Roanoke, Rocky Gap, Rose Hill, Rosedale, Rowe, Rural Retreat, Saint Charles, Saint Paul, Salem, Saltville, Shawsville, Speedwell, Spencer, Staffordsville, Stanleytown, Stuart, Sugar Grove, Swords Creek, Tannersville, Tazewell, Troutdale, Troutville, Vansant, Weber City, Whitetop, Whitewood, Willis, Wise, Woodlawn, Woolwine, Wytheville

12 State Congressional District Definitions Congressional District #10 Arlington County, Clarke County, Fairfax County, Falls Church city, Fauquier County, Frederick County, Loudoun County, Manassas city, Prince William County, Shenandoah County, Warren County, Winchester city Aldie, Arlington, Ashburn, Bentonville, Berryville, Bluemont, Boyce, Bristow, Broad Run, Catharpin, Centreville, Chantilly, Clear Brook, Cross Junction, Delaplane, Fairfax, Fairfax Station, Falls Church, Front Royal, Gainesville, Gore, Great Falls, Hamilton, Haymarket, Herndon, Hume, Leesburg, Linden, Lovettsville, MC Lean, Manassas, Markham, Marshall, Middleburg, Middletown, Paeonian Springs, Paris, Purcellville, Reston, Round Hill, Star Tannery, Stephens City, Stephenson, Sterling, Strasburg, The Plains, Upperville, Vienna, Warrenton, Waterford, White Post, Winchester Congressional District #11 Fairfax County, Fauquier County, Manassas city, Prince William County Alexandria, Annandale, Bristow, Broad Run, Burke, Catlett, Centreville, Clifton, Dumfries, Dunn Loring, Fairfax, Fairfax Station, Falls Church, Fort Belvoir, Gainesville, Haymarket, Herndon, Lorton, Manassas, Nokesville, Oakton, Springfield, Vienna, Woodbridge

13 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,544 respondents States: 32,189 respondents Congressional Districts: 2,274 respondents* 309 respondents States: 910 respondents Congressional Districts: 3 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."

14 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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