Hola.
la imagen no es lo suficientemente clara.
Im a spanish speaker
subject, verb, article+noun, adjective
example:
- Yo quiero un globo azul
Hi there!
The answer is D. ¿Cómo está usted?
“Usted” is used formally for anyone older or in a higher rank than you. When addressing a teacher you say “usted”.
Hope this helps!