Free genogram template

4 Generation Genogram Template

Grandparents to grandchildren on one page, with room for the index person’s own partner and children.
Updated October 2026 · PDF, PowerPoint, PNG and SVG · no sign-up

Quick answer

A 4 generation genogram template adds a fourth row below the standard three: both sets of grandparents, the parents, the index person with their partner and siblings, and the index person’s children. Use it when the client is a parent, so patterns can be followed into the next generation. Download it free as a PDF, PowerPoint or SVG.

Download the 4 generation genogram template

Free files, no sign-up or email. Print the blank, edit the PowerPoint, or reuse the example image with a credit to genogramai.com.

When to use a 4 generation genogram template

Use the four-generation layout when the person at the centre of the genogram is an adult with children of their own. Parenting questions, a child’s referral seen through the parent’s history, postpartum depression, or a grandparent stepping in to help all need the youngest generation on the chart. With three rows you lose either the grandparents or the children, and the pattern you are trying to show usually runs through both.

It also suits family-of-origin coursework that asks for four generations, and medical histories where an inherited condition has to be followed from grandparents to grandchildren. Because four rows take more vertical space, each row has fewer sibling slots than the three-generation page; add extra siblings by copying shapes in the PowerPoint file or by working in the online version.

If the index person has no children, the 3 Generation Genogram Template is cleaner. If the family is large or has several marriages in the middle generation, start from the Divorce and Remarriage Genogram Template or build it online, where the layout widens automatically.

The blank template and a filled-in example

Left: the blank printable. Right: the same template filled in for a fictional family in GenogramAI.
Blank 4 generation genogram template: Both grandparent couples on the top row; father and mother with dashed sibling slots on the second row; the index person (double outline) with a partner and one sibling on the third row; two child slots for the index person on the fourth row. A symbol key with basic symbols and partner lines, and lines for notes.
Blank: Both grandparent couples on the top row; father and mother with dashed sibling slots on the second row; the index person (double outline) with a partner and one sibling on the third row; two child slots for the index person on the fourth row. A symbol key with basic symbols and partner lines, and lines for notes.
4 Generation Genogram Template filled in: Four Generation Genogram Example drawn in GenogramAI with a genogram key
Filled in: The completed example is a fictional family drawn in GenogramAI across four generations: both sets of grandparents, the parents, the adult index person with a partner and siblings, and the index person’s children, with dates, partner lines and emotional lines filled in. Read the full example

Open this example in GenogramAI to start from the finished layout: it copies into your account (the Free plan holds 2 genograms) and every person, line and condition stays editable.

How to fill in a 4 generation genogram template

  1. 1

    Start in the third row

    Draw the index person with a double outline, their partner beside them, and their siblings in birth order, oldest on the left.
  2. 2

    Add the children below

    Drop a line from the couple line to the fourth row and add each child, oldest on the left, with birth years.
  3. 3

    Work upward

    Fill in the parents and their siblings, then both grandparent couples. Mark deaths with an X and add years.
  4. 4

    Mark the pattern

    Once the structure is right, add the emotional lines or condition shading that show what repeats from the top row to the bottom.

Symbols this template uses

Drawn the way GenogramAI draws them. Every other symbol is in the genogram symbols guide and the genogram key.
SymbolWhat it means
Square / circleMale / female. GenogramAI also has symbols for trans, non-binary, intersex and unknown gender.
Double outlineThe index person: the client, patient or student the genogram is about.
X through the symbolDeceased. Write birth and death years beside it; age at death can go inside the symbol.
Solid horizontal lineMarriage. Children hang from this line, oldest on the left.
Dashed horizontal lineCohabitation (living together, not married).
Two slashes on the partner lineDivorce. One slash on a solid line is a legal separation.
Dashed symbolOn the printable, an empty slot you can fill or delete (a sibling you may need to add).

Common mistakes to avoid

  • Putting the index person’s partner in the parents’ row. Partners sit on the same row as the person they partner with.
  • Drawing the fourth generation under the index person alone. Children hang from the couple line between the index person and their partner (or from one parent if the other is unknown).
  • Dropping dates to save space. With four rows, birth years are what let a reader see who overlapped with whom.
  • Shrinking the grandparents’ siblings off the page. If a great-aunt or great-uncle matters to the story, keep them and move the notes instead.

Who uses this template?

Therapists and counselors working with parents, family medicine and nursing students taking a family health history, genetic counseling trainees, and students whose assignment asks for four generations.

Common uses

  • Parent-focused therapy where the child’s difficulties echo the parent’s own childhood
  • Following an inherited condition from grandparents to grandchildren
  • Grandparents raising or helping to raise grandchildren
  • Family-of-origin assignments that require four generations
  • Life-cycle transitions such as a first grandchild or the death of the oldest generation

What the template covers

  • Four-row layout on US Letter, with paternal and maternal sides
  • Index person with partner and child slots
  • Dashed slots for siblings you may need to add
  • Symbol key for people and partner lines
  • Notes lines for patterns and missing information
  • Editable PowerPoint and SVG versions

What is free?

Free and paid, plainly

All five files on this page (blank PDF, PowerPoint, SVG, example PDF and PNG) are free to download and use, with no sign-up. In GenogramAI, the Free plan includes 2 genograms, 5 AI credits a month, all 64 relationship types, medical shading and PNG export, with no card. PDF, SVG and GEDCOM export, file import and photo import are on paid plans; Professional is $12/month.

Frequently asked questions

What are the four generations on a 4 generation genogram?

Counting from the top: grandparents, parents (with aunts and uncles), the index person with partner and siblings, and the index person’s children. Some courses instead start one row higher, with great-grandparents, and stop at the index person; the same template works if you shift the labels up one row.

Is a 4 generation genogram better than a 3 generation one?

Not by default. Three generations is the clinical norm and is easier to read. Add the fourth row when the index person has children who matter to the question you are asking, or when an assignment or a genetic history asks for it.

How do I fit four generations on one page?

Keep symbols small, write only first names and years, and move longer notes into the notes area or a separate sheet. In GenogramAI the layout widens automatically and exports as one image, so large families are easier online than on paper.

Can I edit this template in Word or Google Docs?

Yes. Open the PowerPoint file, select the shapes and paste them into Word, or upload the file to Google Slides and paste the shapes into a Google Docs drawing. Each square, circle and line stays editable.

Further Reading