
The image is a screenshot of a test of evaluation form in Spanish. The form is titled "Test de evaluación" which translates to "Test of evaluation" in English. It has a purple background and white text. 

At the top of the form, there is a title that reads "Nombre y apellidos" in Spanish, which is the title of the test. Below the title, there are two fields - "Curso" and "Cursos". The first field is for the user to enter their name and the second field is a list of the correct answer. The answer is "2º A ESO" and the answer is 2º B ESO.

Below the answer, it says "La region superior de la columna vertebral, pegada a la cabeza es denominada... Toráctica" which is Spanish for "Cervical". There is also a checkbox next to the answer field, indicating that the user can click on it to complete the test and proceed to the next level.
