Fillable Printable Standard Genogram Symbols Template
Fillable Printable Standard Genogram Symbols Template
Standard Genogram Symbols Template
Biological
Child
Foster
Child
Adopted
Child
Stillbirth
Twins Identical
Twins
Pregnancy
Miscarriage
Abortion
Children: List in birth order beginning with the oldest on left
‘92- ‘94- ‘95- ‘03- ‘03- ‘04- ‘04-
‘05-
‘97-97
-‘99 -‘01
13 11
10
Standard Symbols for Genograms
LW
9
8-99
A ‘97
m 1970
AA
Therapist
Therapist
Male
written on
left above
of symbol
‘41-
‘72-
$100,000
‘41-
an X through Symbol
Age at death in box
Death date on right
above symbol
written
inside
symbol
Birth Date DeathAge
Pet
Significant
Institutional
Connection
Female
Man to
woman
Woman
to man
Gay/Lesbian
Transgender People
23
written above
birth & death date
1943-2002‘82-
59
Location &
Annual Income
Boston
Bisexual
Immigration
Family Secret
‘41-
Person who
has lived in
2 + cultures
Heterosexual
Marital Separation
met ‘88,, m ‘90 s ’95
m ‘90 s ’95 d ‘97
m ‘90, s 95-96, s 96, d ‘97
remar ’00, rediv 02
Divorce
Divorce and Remarriage
Marriage
m 1970
Relationship
LT ‘95
LT = Living Together
m ‘03 m ‘05
Secret
Affair
Affair ‘95
Couple
Relationship
Rel 95, LT 97
Committed
Close“spiritual” connection
Physical or
Psychological illness
Alcohol or Drug abuse
Suspected alcohol
or drug abuse
Physical or
Psychological illness
in remission
In Recovery from
alcohol or drug abuse
In recovery from
substance abuse and
mental or Physical problems
Serious mental and
physical problems
and substance abuse
Symbols Denoting Interactional
Patterns between People
Symbols Denoting Addiction, and Physical or Mental Illness
Fused
Hostile
Close-HostileDistant Focused On
Fused-Hostile
Cutoff Repaired
Caretaker
Physical Abuse Sexual AbuseEmotional Abuse
Cutoff
Egg donor
Sperm donor
Surrogate
Mother
Gay Couple whose
daughter was
conceived
with sperm of
John and
an egg donor, and
carried by surrogate
mother till birth.
Lesbian couple
whose daughter
was conceived
with egg
of one partner
and
sperm donor.
1943-2002
$100,000
‘75-
$100,000
‘73-
35,000
‘81-
$45,000
John
Jenny
C.P.A.
Highland Park, NJ
San FranciscoLondon
Arizona
H.S.+2
Secretary
Peter
M.B.A
Alicia
P.h.D
Mark
B.A.
ComputersHistory Prof
‘53-
$28,000
Annual income is written
just above the
birth & death date.
Typically you would include
the person’s occupation
and education near the
name and the person’s
whereabouts at the top
of the line connecting to
the symbol.
59
52
32 30 24
m. 1970
Artificial Insemination
Symbol for Immigration =
Smoker
S
Obesity
O
Language Problem
L
Siblings of Primary
Genogram Members are written
smaller and higher. Spouses are
written smaller and lower:
31
62 58
2628
s ‘01
?94-
‘01
‘01
‘01
38 39 31
26
0
0
10
Child Raised from
Birth by His
Granduncle and Aunt
Foster Children
Adopted Child
Household
Adopted at 5
Use an arrow to show
family into which child moved
Use an arrow to show family
into which child moved
A = 1999
Symbol for
Immigration
1945-
$60,000
Chicago
$40,000
Chicago
1944-
$100,000
$28,000
London
Chicago
BuddhismRoman
Catholic
Ed
Sam
Jolie
Judy
Therapist
LH ’00
‘82
‘79
Dog-Muff
63
24
27
62
m. 1970
POLISH JEWISH
Household shown by encircling members living together
(Couple living with their dog after launching Children)
Siblings are written smaller
and higher than IP.
Spouses are written
smaller and lower.
Served in
Vietnam
m ‘85 d ’89
1st 2nd 3th
1st
1st 1st2nd
2nd 3th
m ‘90 d ’00 m ‘02
m ‘83 d ’88 m ‘89 d ’93 m ‘96
1
2
3
4
Husband, His Current Wife and his Ex-Wives (who are shown lower and smaller).
Husband’s wives may go on left to be closest to him. Indicators “1st,” “2nd” etc.
make clear the oader of his marriages.
Wife, Her Current Husband and her Ex-Husbands (who are shown lower and smaller).
Wife’s previous relationships are shown on left to keep children in birth order, since
they remained in her custody.
Couple with 3 year old, showing their previous spouses (smaller) and those spouses’
new partners (even smaller)
Couple living with their joint child and her child from a previous relationship. The other
spouses of the partners are shown smaller and lower on either side of the present
household, indicated by a dotted line.
m ‘77 d ‘80
‘55-
‘65-
m ‘81 d ‘86
m ‘87 d ‘90
m ‘92 d ‘97
‘94-
‘82- ‘84-
m ‘85 d ‘89
m‘ 90 d ‘93
m ‘95 d ‘97
m ‘99 d ‘01
lo. m ‘02
2
23 21 11
50
40
10
‘95-
‘03-
m ‘94 d ’99
m ‘02
m ‘94 d ’98
m ‘90 d ’92
3
81318
9
8
14
02-
97-
96-
91-
3
