how do you do

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Hi native speakers,

just a quick question. Do you use the sentence "how do you do" to ask "how are you"?

I thought it just meant "nice to meet you" in formal situation. But, probably I am wrong.

Actually, in my multiple choice test, I have got the sentence "how do you do"? (with a question mark) and the following options:

1. Well, thanks, you? 2. Very well 3. Very well, thanks 4. How do you do?

Shoud I opt for the first answer?

Thank you

    Senior Member
    English - USA
    "How do you do" is a question and therefore ends with a question mark. How would you respond to it?
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