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Mini-Clinical Evaluation Exercise (EX) Evaluator: Resident: Date: O R-1 O R-2 O R-3 Patient Problem/DX: Setting: Patient: Complexity: Focus: O Ambulatory Age: O Low O Data Gathering O In-patient Sex:
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The CEX form, or Customer Expenditure Survey form, is a document used to gather data on the spending habits of consumers in order to understand household expenditures.
Households selected for participation in the Customer Expenditure Survey are required to fill out the CEX form.
To fill out the CEX form, respondents must provide accurate details about their household's expenses, including categories such as food, housing, transportation, and other expenditures over a specified period.
The purpose of the CEX form is to collect comprehensive data on consumer spending patterns, which is used for economic analysis and to inform policy decisions.
The CEX form requires information on total household expenditures, including specific items and services purchased, as well as details about income sources and household composition.
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