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
Page 1/4
Favor this template? Just fancy it by voting!
(0 Votes)
0.0
Related Forms
