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How miserable is your state? Not at all if North Dakota is your home, according to a new survey.

The state was the No. 1 healthiest in the nation last year, reveals the sixth annual Gallup-Healthways Well-Being Index. We were a little surprised too (sorry, N. Dakota), but perhaps the recent influx of people to North Dakota (the state does have jobs, after all) helps put the ranking into perspective.

The survey included 178,000 interviews and examined Americans' perspectives on emotional and physical health, perceived healthy behaviors, work environment, social and community factors, financial security, and access to necessities such as shelter, food, and water, to create a composition of well-being for each state. 

While North Dakota came out on top, followed by South Dakota, Nebraska, Minnesota, and Montana to round out the top five, Arkansas, Ohio, Alabama, Mississippi, Kentucky, and West Virginia ended up at the bottom to form the five states that are reportedly the most "miserable" in the country. 

Interestingly enough, eight out of the top 10 happiest states fall near the Midwest. Hawaii, which was the No. 1 happiest and healthiest state in 2012, fell to No. 8.

RELATED: 10 Simple Steps to a Happier, Healthier You

To check out the full list, click here

Where does your state rank? Are you surprised that North Dakota is happier than Hawaii? Let us know in the comments below or Tweet us @Shape_Magazine!

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