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I believe that “thumb up” and “thumb down” works in most of the world. At least with people that have an incentive to understand you as you are spending money.


Wikipedia lists only a few countries where nodding and shaking are reversed: Greece, Macedonia, Bulgaria and Albania. As a Bulgarian, I can tell you it can be quite confusing for foreigners: I've been living abroad for the last seven years or so, and in the beginning I caught a few puzzled looks when nodding or shaking: my mouth says one thing, but my head ...

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