Just because I can't help myself when people post table structure data:
1. Don't use calculated fields in tables / don't store duplicate data. You have ClientFirstName, ClientLastName, you do not need ClientNameReversed nor ClientName. You have the information to achieve that already with the first and last name.
2. Only use alphanumeric characters and underscores in table/field names. OnHold? should not have a question mark.
3. When you start suffixing field names with numbers, its time for a new table for that data. The last field I see is called [Goal1], if you have more than 2 of these fields in this table you need to break out the goal data into its own table.