language
client_id
firstname
mi
lastname
surname
driver_lic_num
social_sec_number1
social_sec_number2
social_sec_number3
day1
day2
month1
month2
year
client_home_phone1
client_home_phone2
client_home_phone3
email
residence_address
client_city
client_state1
client_state2
client_zipcode
how_year1
how_year2
how_month1
how_month2
email_format