Fillable Printable Genogram Example Template
Fillable Printable Genogram Example Template
![Genogram Example Template](/resources/formfile/images/fb/source_images/genogram-example-template-d1.png)
Genogram Example Template
![](/resources/formfile/htmls/fb/genogram-example-template/bg1.png)
Appendix 7
Genogram example
Genogram symbols
Male Female Gender unknown Death
(e.g. pregnancy)
Genogram symbols
Enduring
relationship
(marriage or
cohabitation)
Separation
Transitory
Relationship
Divorce
First child Second child Miscarriage or Twins
abortion
A dotted line should be drawn around the people who currently live in the same house.
Significant people in a child’s life should be shown and dotted lines to these
Dated 01/10/2012