Basic Genogram Symbols Template

CMP 105 Adapted from: Power, Thomas A., ACSW.
Family / Child Assessment Family Matters: A Layperson’s Guide to
12/2005 Family functioning. Hathaway press,
SJ New Hampshire, 1992
The Basic Genogram Symbols
Male: Female: Birth Date Age – inside symbol Death Date Death = X
8-10-’41 10-4-2001
w
ritten above written inside written above
left of symbol symbol right of symbol
Marriage Living Together, Affair, Lesbian Couple Gay Couple
or Intimate Relationship
m. 1970 LT 1975
LT 1991 LT 1993
LT = Living Together
Marital Separation Divorce Getting back together after Divorce
m. 1970 s. 1985 m. 1970 d. 1987 d. 1987 remar. 1990
Children: List in birth order beginning with the oldest on the left
’77 ’77 ’79 ’81
’70 ’73 ’76 ’83 ’83 ’85 ’85
Stillbirth
Miscarriage Abortion Pregnancy
Biological Foster Adopted Twins Identical Twins
Child Child Child
Two people who are married are connected by lines that go down and across, with the husband on
the left and the wife on the right.
Couples that are not married are depicted with a dotted line.
Children are drawn left to right, going from the oldest to the youngest.
34
27 25
22
M
A
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Basic Genogram Symbols Template PDF

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