Asking
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What makes you call someone Mr. or Mrs. Ms. so and so as opposed to their first name?

It’s ridiculous
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SunshineGirl · 36-40, F
Respect.

I learned at school to call older people by their title and surname (although a younger female teacher might be Miss Sophie, etc).

I find calling a person you have never met before by their first name strange, impersonal and inauthentic. You need to make an effort to establish a relationship rather than just assume you can be on "first name terms" with everyone.

If you have a hospital stay, the nurses will usually ask how you would like to be called. That seems to me to be the best approach.
ArtieKat · M
@SunshineGirl I love how the young in the Southern States call older people "Sir" and "Ma'am" - it reminds me of the courteousness in England when I was young.