(A) True. Mean Sea Level (MSL) is the long-term average of sea level observed at a tide gauge (typically many years; e.g., 19-year tidal epoch) at a fixed location.
(B) False. “Mean tide level” is the average of the mean high water and mean low water; it is not the same as the long-term mean sea level.
(C) False. A monthly mean is too short to define MSL; long-term averaging is required to remove periodic tidal and seasonal effects.
(D) True. MSL at gauges is often used as a practical realization/approximation of the geoid (zero-elevation surface) for vertical datums.