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I LOVE Carolina!

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Carolina Rose and Carolina Susana are my favourites. :)

Carolina Susana, Carolina Athena, Carolina Sophia, Carolina Louisa, Carolina Abigail, and Carolina Elizabeth all have too many syllables for me to be excited about. They just feel really long. I'm also not a fan of the ones with -a -a endings. If I had to choose from those, I think Carolina Abigail best.

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Carolina Mae/May - Very cute. I like it.
Carolina Rose - Rose is pretty boring in the middle name spot. The flow is fine, but it's so forgettable.
Carolina Renee - This one is my favourite. Very pretty
Carolina Marie - Again, Marie is tremendously filler. Fine, but so boring.

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May I suggest for you consideration:
Carolina Suzanne
Carolina Louise
Carolina Elise
Carolina Beth

Carolina Abigail- A bit of a mouth full, and I don't care much for Abigail
Carolina Mae/May- Very charming. I think I like the look of Carolina Mae best
Carolina Rose- Flows well, but it sounds like Georgia Peach or Alaska Moose
Carolina Renee- The repeated 'r' sounds make it a little hard to say
Carolina Elizabeth- I dislike how both names have 4 syllables. Caroline Elizabeth sounds better
Carolina Marie- Yes Marie is boring and overused, but I really do love it, I would prefer Marie Carolina

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I think that all of the middle names ending in -a pair much better with Caroline, especially Caroline Susana.

Personally, I wouldn't use a three syllable name as a middle name for Carolina just because it's so long by itself. Carolina Mae is my favorite.

Carolina is very pretty. I think Carolina Marie is nicest, and Carolina Sofia is pretty too. I usually pronounce it like North or South Carolina and so Carolina Rose sounds a bit too much like perfume. If it's Carolina with a long e sound, Carolina Athena won't sound very good at all. In general I think Carolina should have a shorter, not overly fancy middle name to balance it.