According to a new Gallup-Healthways poll, Hawaii ranks No. 1 in well-being among its residents for the fourth year in a row, while West Virginia is at the very bottom for the fourth year straight.
Aloha State residents were most likely to rate their lives as "thriving," according to the poll, scoring themselves high in areas such as emotional health and work environment.
West Virginians, on the other hand, had the lowest score for physical health and were most likely to be diagnosed with depression.
Colorado, Minnesota, Utah and Vermont round out the top five happiest states. Joining West Virginia at the bottom are Kentucky, Mississippi, Tennessee and Arkansas.