Outstanding eval...and I thought I'd be happier

I got an Outstanding in my work eval...Somehow I thought I'd be happier...I feel like I had to turn myself inside out to achieve it...I'm not saying success should come easy, but I feel like there's a happy medium.  I think a definite priority shift, change of scenery and/or both will be called for in 2011..2012.  I know it's going to come at a cost though and I'm prepared to deal with it.