Gallup’s well-being index relies on 55 metrics, including rates of obesity, produce consumption, smoking, depression and psychological fulfillment. Generally, the best-off states are in the Midwest and West while the worst are in the south. And there was quite a bit of a shakeup last year. Nineteenth-ranked North Dakota rose to the top spot, while 12th-ranked South Dakota took the second spot. After four years on top, Hawaii fell to the eighth spot. Read more at Gallup.