Let's evaluate the expression step by step:

Given expression:

$3 - 1 + 5 - 1 - 3 - 1 - 5 - 1$

Let's simplify it:

1. Start by adding and subtracting the numbers from left to right:

   $3 - 1 = 2$

   $2 + 5 = 7$

   $7 - 1 = 6$

   $6 - 3 = 3$

   $3 - 1 = 2$

   $2 - 5 = -3$

   $-3 - 1 = -4$

So, the value of the expression is $-4$, but since it's negative and does not match any of the given options, there seems to be a mistake.

However, there is no matching option with $-4$ in the provided choices, so I think the problem may contain a typo or error.

If this needs further review, please let me know if you want a more detailed breakdown or have any questions.

Relative questions:

1. What is the importance of the order of operations in evaluating expressions?
2. Can parentheses change the result of an arithmetic expression?
3. How do negative signs affect the result of subtraction operations?
4. How can common mistakes in arithmetic operations be avoided?
5. What is the role of addition and subtraction in simplifying expressions?
6. How does changing the order of operations affect the outcome?
7. What strategies can be used to check the accuracy of arithmetic calculations?
8. Can arithmetic errors in expressions lead to incorrect results in real-life applications?

Tip: When working with expressions, it's helpful to write down intermediate steps to avoid mistakes.