Which best describes the shape of this distribution?

Choice E) bimodal skewed

The majority of the data is towards the left side. The right outliers are skewing the mean to be pulled larger than it should be. This is why median < mean, so it's better to use the median as the measure of center. There are 2 modes here. They are the values 4 and 8 since we have these values occur the most (4 times each). That's where the term "bimodal" comes in.