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In Microsoft Access 2019, there are options available to customize the design of database objects, including fields, forms, and reports. These options can be found in the Access Options dialog box under the Object Designers tab. The options include default field types, text field sizes, number field sizes, and auto-index settings. Additionally, in Query Design view, there are selection behavior options and form/report design view options. The SQL Server Compatible Syntax (ANSI 92) options control which version of SQL is used in the database. The options include using SQL -92 syntax in the current database and making it the default for new databases.