Choose the best answer:
Physical changes are different for every, so you don’t need to feel embarrased or______

 

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Money habits matter a lot in a relationship, even if you’re not married or living together, concludes Melissa A Curran, an associate professor at the University of Arizona, in a new study published in the Journal of Family and Economic Issues. That’s why she recommends being picky when it comes to dating. “Young adults should choose their romantic partner wisely,” Curran tells CNBC Make It. She and her colleagues assessed over 500 young twenty-somethings in committed relationships and had them rate their health and overall life satisfaction. She asked them questions related to their partners’ financial responsibility, such as, Do they spend within a budget? And, Do they usually pay off their credit cards in full? The researchers found that the more responsible the participants perceived their partners to be with money, the higher their own sense of well-being and the happier they were with their relationships. The opposite was also true. Participants who thought their partners were bad with money had a lower sense of well-being and felt less committed to the relationship. “This finding makes sense developmentally as the young adults are transitioning to adulthood,” says Curran. “It would make sense for them to draw upon romantic partners in terms of financial socialization agents.” By socialization agents, she means people who can teach and influence the participants on matters related to money. The idea is that the financial habits of whoever you’re dating can rub off on you. If your partner is bad with money, you might become bad with money too, which in turn affects your life overall, since the researchers also confirmed that your own financial habits definitely affect your well-being. For many young adults, parents are the most influential socialization agents. So, in this study, Curran also asked the participants about what their parents expected of them when it came to their finances. Did their parents, for example, expect them to track their spending? The researchers found that high expectations from an involved parent led the participants to perform better on a financial literacy test. But, unlike romantic partners, they did not seem to influence well-being. If you’re bothered by your significant other’s over-spending or general irresponsibility with money, Curran and her colleagues recommends talking things through. “Having discussions about finances and making financial decisions together helps couples
become closer and more satisfied with their relationships.”
8. Which of the following can be inferred from the passage?

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What/ most/ important/ volunteer activity/ our area?

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Many prehistoric people subsisted as hunters and gatherers. Undoubtedly, game  animals, including some very large species, provided major components of human diets. An important controversy centering on the question of human effects on prehistoric  wildlife concerns the sudden disappearance of so many species of large animals at or near the end of the Pleistocene epoch. Most paleontologists suspect that abrupt changes in climate led to the mass extinctions. Others, however, have concluded that prehistoric people drove many of those species to extinction through overhunting. In their “Pleistocene overkill hypothesis,” they cite what seems to be a remarkable coincidence between the arrival of prehistoric peoples in North and South America and the time during which mammoths, giant ground sloths, the giant bison, and numerous other large mammals became extinct.  Perhaps the human species was driving others to extinction long before the dawn of history. Hunter-gatherers may have contributed to Pleistocene extinctions in more indirect ways. Besides overhunting, at least three other kinds of effects have been suggested: direct competition, imbalances between competing species of game animals, and early agricultural practices. Direct competition may have brought about the demise of large carnivores such as the saber-toothed cats. These animals simply may have been unable to compete with the increasingly sophisticated hunting skills of Pleistocene people.  Human hunters could have caused imbalances among game animals, leading to the extinctions of species less able to compete. When other predators such as the gray wolf prey upon large mammals, they generally take high proportions of each year’s crop of young. Some human hunters, in contrast, tend to take the various age-groups of large animals in proportion to their actual occurrence. If such hunters first competed with the larger predators and then replaced them, they may have allowed younger to survive each year, gradually increasing the populations of favored species. As these populations expanded, they in turn may have competed with other game species for the same environmental niche, forcing the less hunted species into extinction. This theory, suggests that human hunters played an indirect role in Pleistocene extinctions by hunting one species more than another. 
1. What does the passage mainly discuss?

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It’s important to be able to articulate your dream job. Not just for personal reasons,  but also for when you’re asked about it in interviews. But, how can you even begin to describe your ideal job, especially to someone who’s clearly going to be judging your response? Just picking a place to start is a head-scratcher.  First, let’s talk about what you’re good at doing, or your strengths. It’s likely you’ve already had the chance to talk about this topic a bit during the interview, so it makes for a nice transition. Highlight the skills that you enjoy using most, not just the ones you’re a superstar at. This is about your dream job, so don’t shy away from mentioning any that you want to grow as well.  Think big picture for this. What drew you to your industry? What’s something you did as a kid that’s actually found its way into your work? What is it about your career that keeps you engaged? Weave that in. Giving a sense of what your career values are will give the interviewer an idea about what motivates you; it’s a good way to bring the focus back to the company you’re interviewing for. It also adds some extra complexity to your answer. You’re not just saying, “I want an interesting job that I’m good at.” I mean, that’s nice, but this is your dream job we’re talking about! Don’t pigeonhole yourself with anything that official. Instead, give the hiring manager a more nuanced response by covering your skills, interests, and values. He or she will get the chance to learn more about you—and you have more flexibility to line up your career goals and the position you’re applying for. That’s a win-win. 
1. Which best serves as the title for the passage?

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With 13,000 floral species and over 15,000 faunal species, three newly discovered big animal species, and a ratio of country/world species of 6.3%. Vietnam has enormous tourismparticularly ecotourism-potential. In fact, since 1986, when Renovation Reforms began the shift from a centrally planned to a socialist-oriented market, or multi-sectoral, economy, tourism has been an sector of primary concern to the government. In May 1995, the prime minister of Vietnam approved a master plan of tourism development for the period 1995- 2010. In February 1999, the state decree on tourism was part of the socio-economic development strategy for the period 2001-2010 approved at the IX National Congress of the Party: “Tourism development has become a spearhead economic industry indeed. It is necessary to improve the quality and effectiveness of tourism activities, bringing into full play the natural conditions, and cultural and historical tradition to meet the domestic and international demand for tourism and to catch up with tourism development in the region” (Document of the IX National Congress 2001). Tourism has so far brought great benefits to the economy, but it has also contributed to environmental degradation, especially biodiversity deterioration. Thus, the concept of “sustainable development”-development which meets the needs of the present without compromising the ability of future generations to meet their own needs - must be factored into tourism development. This consideration is reflected in the term “ecotourism,” which is referred to variously as ecological or environmental tourism, nature or green tourism, sustainable or responsible tourism. Ecotourism involves travel to relatively undisturbed natural areas with the specific object of studying, admiring, and enjoying scenery, plants, and animals, as well as any cultural features found in these areas. It is distinguished from mass or resort tourism by its lower impact on the environment, lower infrastructure requirements, and its role in educating tourists about natural environments and cultural values. Fully aware of its significance, the government of Vietnam has prioritized ecotourism in its strategy for tourism development to ensure both sustainability and economic benefits. Though ecotourism in Vietnam is at a beginning stage of development, it is expected to grow strongly through support from government and international organizations.  
3. It can be inferred that in the late 20th century Vietnam’s tourism ____.

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Environmentalists often fear that tourists will trample all over sensitive natural resource areas, but tourism may bring the needed and only economic incentives to help drive conservation, said Bynum Boley. Ecotourism and natural resource conservation already have a mutually beneficial relationship that is ideal for creating a sustainable partnership. “Ecotourism destinations benefit in the form of enhanced tourism competitiveness from the protection of quality natural resources,” he said. "Meanwhile, the conservation of these natural resources is increasingly valued since these pristine natural resources are the foundation of the ecotourism industry and the driver of all economic benefits associated with ecotourism." Tourism is a $7.6 trillion global industry, provides 277 million jobs and is a primary income source for 20 of the world’s 48 least-developed countries. It also subsidizes environmental protection and helps protect, conserve and value cultural resources that might otherwise be undervalued by the host community, Boley said. In the newpaper, Boley and coauthor Gary Green said that despite past tension between the tourism industry and environmentalists, the two should team up as allies to fight off increasing conversion of land away from its natural state. Ecotourists not only provide a boost to the economy in such places, they can also motivate landowners into keeping the environment in its natural state instead of converting it into something unsustainable. They could also influence the public perception of conservation, Boley explained, which does not often favor environmental protection. “The public has become increasing less prone to respond to environmental messages,” he said. “Economic messages are needed in order to attract the public’s interest.” Too often, Boley and Green said, unique natural resource areas are converted into urban, suburban and agricultural developments without considering their ecotourism potential. In addition to the lost ecotourism revenue, there are a host of negative environmental consequences such as biodiversity loss, water and food shortages and the land being unable to mitigate the effects of climate change. These areas are not valued for their unique attributes or the valuable natural resources they provide, Green said, “so we lose them.” Tourists have historically been seen as having a negative impact on the environment. Critics complain that they violate fragile and threatened natural environments while contributing to greenhouse gases from the increased number of flights to these exotic and often remote locales. While these criticisms are justified, Boley and Green said responsible programs promote education of ecological conservation and environmental sustainability, fostering a greater understanding and appreciation of these exotic areas  
8. As mentioned in paragraph 4, responsible programs promote education of ecological conservation and environmental sustainability, _______

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Most languages have several levels of vocabulary that may be used by the same speakers. In English, at least three have been identified and described. Standard usage includes those words and expressions understood, used, and accepted by a majority of the speakers of a language in any situation regardless of the level of formality. As such, these words and expressions are well defined and listed in standard dictionaries. Colloquialisms, on the other hand, are familiar words and idioms that are understood by almost all speakers of a language and used in informal speech or writing, but not considered acceptable for more formal situations. Almost all idiomatic expressions are colloquial language. Slang, refers to words and expressions understood by a large number of speakers but not accepted as appropriate formal usage by the majority. Colloquial expressions and even slang may be found in standard dictionaries but will be so identified. Both colloquial usage and slang are more common in speech than writing. Colloquial speech often passes into standard speech. Some slang also passes into standard speech, but other slang expressions enjoy momentary popularity followed by obscurity. In some cases, the majority never accepts certain slang phrases but nevertheless retains them in their collective memories. Every generation seems to require its own set of words to describe familiar objects and events. It has been pointed out by a number of linguists that three cultural conditions are necessary for the creation of a large body of slang expressions. First, the introduction and acceptance of new objects and situations in the society; second, a diverse population with a large number of subgroups; third, association among the subgroups and the majority population. Finally, it is worth noting that the terms "standard", "colloquial", and "slang" exist only as abstract labels for scholars who study language. Only a tiny number of the speakers of any language will be aware that they are using colloquial or slang expressions. Most speakers of English will, during appropriate situations, select and use three types of expressions.
6. Which of the following is true of standard usage?

Each sentence has a mistake. Findit by chosing A B C or D

When children get their first pair of glasses, they are often surprise to see that trees and flowers have sharp clear outlines

Find synonym:
Deforestation is one of the biggest environmental threats to the ecological balance in the world.

Each sentence has a mistake. Findit by chosing A B C or D

Smoking is the number one prevent cause of death in the United States

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Hamams, or bath houses, are a traditional part of Turkish culture. They represent an important piece of Turkey’s long history and serve as a window into the past. However, these bath houses are quickly disappearing because of the changing habits of the Turkish people. Hamams hold a strong place in the history of Turkey and many date back hundreds of years. Traditionally, all kinds of people went to hamams because Islam has strict laws for cleanliness. Believers must wash themselves regularly, particularly before their daily prayers. As most people in Turkey didn’t have access to running water in their homes, the hamam was the perfect to get clean, relax, and catch up with friends. Today, however, the tradition of going to the humam is quickly dying out for many young people. Now almost everyone has running water in their bathrooms, so they prefer to bathe at home. As a result, Turkish people are not going to humans as often as they used to. These days, instead of relying on locals, many hamams are trying to attract foreign tourists. Some of the best hamams in Turkey are located in Istanbul, the country’s largest city. The Cagaloglu hamam is a great example. It was a gift to the people from the Sultan in 1741 and is one of the last old hamams to be built during the Ottoman Empire. Many visitors are impressed by the high domed ceilings, marble floors, and marble walls used throughout. A typical session at a hamam can last well over an hour. Visitors will be welcomed into camekan, or entrance hall. There they will be able to relax with friends and chat over a cup of tea. They will also be able to change into the customary pestemal, or Turkish towel, which wraps around the waist like a skirt. When ready, visitors will head into the hararet, or hot room. There they will lie on the hot floor and be scrubbed clean and massaged by one of the in-house masseurs or masseuses. Men and women always bathe separately, but their experience are very similar. Although many hamams are in danger of closing, they will always remain a part of Turkish culture. An experience in one of Istanbul’s famous bath houses is not to be misses on any visit to Turkey. It will certainly leave you refreshed, relaxed, and squeaky clean for your next adventure
6. According to the passage, there are some of the best hamams located in _________ 

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The town of Chichen-Itza was established during the Classic period close to two natural cavities (cenotes or chenes), which gave the town its name “At the edge of the well of the Itzaes”. The cenotes facilitated tapping the underground waters of the area. The dates for this settlement vary according to subsequent local accounts: one manuscript gives 415-35 A.D., while others mention 455 A.D. The town that grew up around the sector known as Chichen Viejo already boasted important monuments of great interest: the Nunnery, the Church, Akab Dzib, Chichan Chob, the Temple of the Panels and the Temple of the Deer. They were constructed between the 6th and the 10th centuries in the characteristic Maya style then popular both in the northern and southern areas of the Puuc hills. The second settlement of Chichen-Itza, and the most important for historians, corresponded to the migration of Toltec warriors from the Mexican plateau towards the south during the 10th century. According to the most common version, the King of Tula, Ce Acatl Topiltzin Quetzalcoatl, or Kukulkan as the Maya translated the name, reportedly took the city between 967 A.D. and 987 A.D. Following the conquest of Yucatán a new style blending the Maya and Toltec traditions developed, symbolizing the phenomenon of acculturation. Chichen-Itza is a clear illustration of this fusion. Specific examples are, in the group of buildings to the south, the Caracol, a circular stellar observatory whose spiral staircase accounts for its name, and, to the north, El Castillo. Surrounding El Castillo are terraces where the major monumental complexes were built: on the north-west are the Great Ball Court, Tzompantli or the Skull Wall, the temple known as the Jaguar Temple, and the House of Eagles; on the north-east are the Temple of the Warriors, the Group of the Thousand Columns, the Market and the Great Ball Court; on the south-west is the Tomb of the High Priest. After the 13th century no major monuments seem to have been constructed at Chichen-Itza and the city rapidly declined after around 1440 A.D. From its abandonment during the 15th century, Chichen-Itza underwent a process of gradual deterioration until the first excavations at the site began more than a century ago. Nevertheless, the excellent materials and building techniques used by the Maya in the construction of the buildings secured that the architectonic, sculptural and pictorial essence of Chichen-Itza would be conserved through the centuries  
7. The word “deterioration” in paragraph 4 is closest in meaning to _______

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The ability to be independent is something that not everyone possesses. (1)_______, you need to be independent in order to survive in the world. Learning to support yourself is (2) ________ for any success you ever hope to achieve. At the end of the day, you only have yourself to fall back on, so it is exceedingly important to be able to handle things on your own. It is all about being secure with who you are and what you believe in. It is extremely empowering knowing that you are (3)________control of your own life and your own choices. It is much more beneficial to listen to the voice inside yourself rather than the berating (4) ________of others. We rely on others far more than it is necessary. People put their happiness in the hands of a significant other, thinking this will bring them fulfillment. This is a fatal error too many people make these days. Do you always want to feel dependent on someone else? Of course not. Not only are you limiting yourself, you are more than likely becoming a burden to this person. We need to learn how to make decisions on our own. I understand asking your friends their opinion on a fashion decision, but do we really need to consult others on every minimal decision we have to make? Think of things (5)________ are in your best interest and choose that option

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For centuries, historians and archaeologists have puzzled over the many mysteries of  Stonehenge, the prehistoric monument that took Neolithic builders an estimated 1,500 years to erect. Its construction is so baffling because, scientists have traced the bluestones that make up its inner ring all the way to the Preseli Hills in Wales, some 200 miles from where Stonehenge sits on Salisbury Plain.  If the facts surrounding the architects and construction of Stonehenge remain shadowy at best, the purpose of the arresting monument is even more of a mystery. While historians agree that it was a place of great importance for over 1,000 years, we may never know what drew early Britons to Salisbury Plain and inspired them to continue developing it. There is strong archaeological evidence that Stonehenge was used as a burial site, at least for part of its long history, but most scholars believe it served other functions as well-either as a ceremonial site, a religious pilgrimage destination, a final resting place for royalty or a memorial erected to honor and perhaps spiritually connect with distant ancestors.  In the 1960s, the astronomer Gerald Hawkins suggested that the cluster of megalithic stones operated as an astronomical calendar, with different points corresponding to astrological phenomena such as solstices, equinoxes and eclipses. While his theory has received quite a bit of attention over the years, critics maintain that Stonehenge’s builders probably lacked the knowledge necessary to predict such events or that England’s dense cloud cover would have obscured their view of the skies. More recently, signs of illness and injury in the human remains unearthed at Stonehenge led a group of British archaeologists to speculate that it was considered a place of healing, perhaps because bluestones were thought to have curative powers.
3. According to paragraph 2, what is NOT mentioned as the Stonehenge’s theorised reason for being?

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Mohammed BK, who aims to connect Somalis in Bristol with their heritage, has been  confirmed for the Somali Week Festival, in 2020. Mohammed BK has been named as “cultural ambassador” for the Somali community. Ayan Mohamoud who is UK’s Somaliland Ambassador told the BBC he will now become a fixed part of the annual festivities. She said: “Young people who don’t speak Somali at all have memorised his music word-for-word and that is something that has never been done before by any Somali artist. He has been touring the country promoting citizenship and cultural unity throughout his career.”  Susan Elmi, 25, has been a fan of Mohammed BK for many years. She said: "In the Somali culture many people communicated their emotions and thoughts through songs and poetry and this is going back centuries. This man is bringing that back and making the younger generation question and explore our rich legacy. I think it’s just what the Somali Diaspora needs to say well connected to the identity.”  Mohammed BK also promotes education and advises young people to “use their time and resources wisely here in the UK because that is something their parents sacrificed fleeing from their homeland”. He added: “I thought to myself if I have that much influence on thousands and thousands of young people from my community, I need to put my platform to good use in encouraging them to do good and seek opportunities”. Festival fan Ameira Hassan, 45, said: “It’s a huge thing for our kids to take part in their history and culture. It’s important to us because they are learning a lot. Twenty years ago we never used to have anything like this in the UK and our kids never had any knowledge of the Somali culture.” 
3. The word “they” in paragraph 3 refers to _______

Mark the letter A, B, C, or D on your answer sheet to indicate the undelined part that needs correction in each of the following questions:
Most people think that lions only come from Africa. This is understandable because in fact most lions do come from there but this has not always been the case. If we went back ten thousand years, we would find that there were lions roaming vast sections of the globe. However now, unfortunately only a very small section of the lion's former habitat remains.
Asiatic lions are sub-species of African lions. It is almost a hundred thousand years since the Asiatic lions split off and developed as a sub-species. At one time the Asiatic lion was living as far west as Greece and they were found from there, but in a band that spreads east through various countries of the Middle East, all the way to India. In museums now, you can see Greek coins that

have clear images of the Asiatic lion on them. Most of them are dated at around 500 B.C. However, Europe saw its last Asiatic lions roaming free two thousand years ago. Over the next nineteen hundred years the numbers of Asiatic lions in the other areas declined steadily, but it was only in the nineteenth century that they disappeared from everywhere but in India.
The Gir Wildlife Sanctuary in India was established especially to protect the Asiatic lion. There are now around three hundred Asiatic lions in India and almost all of them are in this sanctuary. However, despite living in a sanctuary, which makes them safe from hunters, they still face a number of problems that threaten their survival. One of these is the ever-present danger of disease. This is what killed more than a third of Africa’s Serengeti lions in 1994, and people are fearful that something similar could happen in the Gir Sanctuary and kill off many of the Asiatic lions there.
India's lions are particular vulnerable because they have a limited gene pool. The reason for this is interesting is because all of them are descended from a few dozen lions that were saved by a prince who took a particular interest in them. He was very healthy, and he managed to protect them; otherwise they would probably have died out completely.
When you see the Asiatic lion in India, what you sense is enormous vitality. They are very impressive animals and you would never guess that they have this vulnerability when you look at them.

Ten thousand years ago .

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While many behaviors and practices associated with going green are designed to save  money, there are certain ways in which green living can actually be moderately to very expensive. Much of the technology associated with green living (1) ____________ provide benefits to the environment but often at a much higher cost than their traditional counterparts. For instance, the use of solar panels can potentially save you money on your energy bills, but they can (2) ______________ thousands of dollars to install. Energy-efficient appliances are designed to use less electricity and water but they often come with a high price tag.  Going green can also potentially have a negative effect on the environment. For (3) __________, the development of alternative fuels is an innovation in the green movement in an effort to reduce reliance on (4) ___________ natural resources. While these fuels are intended to reduce the toxic emissions caused by the burning of traditional gasoline, they may have unintentionally caused the opposite effect. One of these alternative fuels, E85, actually (5) ___________ more ozone into the atmosphere than traditional fuel. While ozone is a natural part of the Earth’s upper atmosphere, if it becomes concentrated in the lower atmosphere, it can potentially increase air pollution in areas where smog is a concern, which can in turn impact the health of those living in these areas

Mark the letter A, B, C, or D on your answer sheet to indicate the undelined part that needs correction in each of the following questions:
If parents bring up a child with the sole aim of turning the child into a genius, they will cause a disaster. According to several leading educational psychologists, this is one of the biggest mistakes which ambitious parents make. Generally, the child will be only too aware of what his parents expect, and will fail. Unrealistic parental expectations can cause great damage to children.
However, if parents are not too unrealistic about what they expect their children to do, but are ambitious in a sensible way, the child may succeed in doing very well — especially if the parents are very supportive of their child. Michael Collins is very lucky. He is crazy about music, and his parents help him a lot by taking him to concerts and arranging private piano and violin lessons for him. They even drive him 50 kilometers twice a week for violin lessons. Michael's mother knows very little about music, but his father plays the trumpet in a large orchestra. However, he never makes Michael enter music competitions if he is unwilling.
Winston Smith, Michael's friend, however, is not so lucky. Both his parents are successful musicians, and they set too high a standard for Winston. They want their son to be as successful as they are and so they enter him for every piano competition held. They are very unhappy when he does not win. Winston is always afraid that he will disappoint his parents and now he always seems quiet and unhappy.

The two examples given in the passage illustrate the principle that     .

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Christmas is around the corner, which means it’s about time you examined carefully your holiday gift list. “Choosing the wrong gift can be kind of risky for relationships because it implies that you and the receiver don’t have anything in common,” says Elizabeth Dunn, a psychology professor at the University of British Columbia in Canada. Her research has also showed that undesirable gifts can sometimes negatively impact the receiver’s perception of a relationship’s future potential. Since you don’t want your holiday gift to cause more harm than good, how can you be sure to choose a gift the receiver will love? Psychology may have the answer. Contrary to common belief, studies have actually shown that spending more does not always guarantee a well-received gift. “It seems quite self-evident to most of us that if you spend more, you’re going to get a better girl. But as it turns out, there’s no evidence that recipients associate the cost of a gift with how much they enjoy that gift,” says Jeff Galak, an associate professor of marketing at the Carnegie Mellon Tepper School of Business in the US city of Pittsburgh. Galak acknowledges that your gift may have to hit a certain price due to tradition or expectations. “But once you meet that cost, it doesn’t matter at all if you buy something even more valuable than that limit,” he says. Galak says the trick for giving a great and unforgettable gift is to think past the moment of handing it over. “When most givers give gifts, they try to make the moment they give the gift perfect and want to see the smile on recipient’s face right in that moment,” says Galak. “But in reality, what most recipients really love about a gift is how much value they’re going to derive from it over an extended time period.” In other words, it might be exciting to watch a friend open a gift of a concert ticket, but since it’s a gift that cannot be enjoyed over time, it may soon be forgotten. It is also suggested that if you can’t think of a good gift, just ask the recipient what they want. “People want to be creative and surprise the recipient,” says Dunn. “but the better gift will be whatever it is they say they like.” At the end of the day, don’t fret too much about giving a terrible gift. Unless something is wildly inappropriate, the recipient will fell some level of appreciation. Galak says that over the course of his research he has asked thousands of participants about gifts they have received, and he rarely hears someone talk about a bad girl. And even if you do give a sub-standard gift to someone you are close to you may be saved by your thoughtfulness. “When someone does something puzzling that needs to be explained – like give a bad gift – that’s when you think about what’s on the other person’s mind,” says Nicholas Epley, a professor at the University of Chicago Booth School of Business. His research shows that if your recipient feels like you at least spent a lot of time making your selection, they’ll appreciate the effort that went into choosing a less desirable gift. In other words, the old saying ‘it’s the thought that counts’ really might be true.  
6. In paragraph 3, Jeff Galak said that what recipients actually like about a gift is ________

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The field of 3-D printing comes with a new set of legal questions hospitals using the  technology will need to consider, said Bruce Kline, a technology licensing manager who oversees patents for new technology developed at Mayo Clinic. For starters, he said the STL file printers use are a lot like MP3 music files, in that they can be protected under copyright and require licensing to use. Copyright violations can occur if a purchased STL anatomical model file for rare disease is illegally shared with another institution that did not purchase the file from the vendor that created the file.  Under the law, if a device has a functional use it falls under patent law. If it is not functional, it falls under copyright law. Kline said most medical 3-D printing for educational models and complex anatomy evaluation currently falls under copyright. But, he said that will rapidly change in the coming years as customizable 3-D printable medical devices see wider use.  Additive manufacturing (AM) allows the creation of patient-specific devices at the point of care. Kline said an interesting fact is that these devices are FDA 510(k)-exempt if produced by a hospital instead of a medical device vendor. He said this blurs the lines between traditional vendor relationships, since the hospital can now become the manufacturer. However, if a hospital makes a device, it also becomes liable for it. He advised that it might be better for a commercial vendor to make the device for the hospital so the vendor assumes the liability of the device. Custom-made medical devices are also exempt under FDA regulations, Kline said. So, if a physician creates or modifies a device to meet the clinical needs of a specific patient’s anatomy, he said it is acceptable to use under current FDA rules. This may leave the door wide open for use of 3-D printed devices that are customized for each patient using their own 3-D imaging datasets.  It is possible printable device files may become available in the next few years to customize and print on demand. However, Kline said it will be much more difficult to enforce patents on these types of devices. He explained if someone makes one or two devices, there is no economical way for the creator of those device files to go after the user/maker of of unlicensed copies of the device to claim lost profits.
7. Which of the following statements is TRUE, according to the passage?