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2 Florida cities in top 10 for well-being

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(NBC) - A new Gallup-Healthways index says two Florida cities are among the healthiest in America.

For the second year in a row, the Naples-Immokalee-Marco Island region was No. 1 for well-being in the U.S.    

The North Port-Sarasota-Bradenton region was No. 6.

The index factors in a variety of metrics that include the five essential elements of well-being:

Purpose: liking what you do each day and being motivated to achieve your goals
Social: having supportive relationships and love in your life
Financial: managing your economic life to reduce stress and increase security
Community: liking where you live, feeling safe, and having pride in your community
Physical: having good health and enough energy to get things done daily

Fort Smith, Ark., Hickory, N.C. and Huntington, W.V. ranked the lowest out of the 189 Metro areas surveyed.

Click here for the full report and rankings.