Multigenerational mapping

3 generation genogram: example, template and how to make one

Real three-generation genogram examples with a row-by-row explanation, a free blank template, and the steps to draw grandparents, parents and the index person. For nursing school, therapy and family assessment.
Updated October 2026 · 7 steps · About 20 minutes by hand, a few minutes with AI

Quick answer

A 3 generation genogram is a family diagram with one row per generation: grandparents on top, parents with their brothers and sisters in the middle, and the index person with siblings at the bottom. It uses squares for males and circles for females, adds ages, deaths and health conditions, and is the usual minimum for nursing and therapy assignments.
3 generation genogram example: the fictional Clark family with both sets of grandparents in the top row, the parents and an uncle in the middle row, and the index person Emily with her two brothers in the bottom row, with a genogram key
3 Generation Genogram Example. Grandparents (generation 1), parents and an uncle (generation 2), and Emily, the index person, with her brothers (generation 3). Open this example · Free to reuse with credit.

What is a 3 generation genogram?

A 3 generation genogram is a family diagram that maps three levels of a family: grandparents, parents, and children. This three-generation structure is the gold standard for family assessment because it provides enough depth to identify multigenerational patterns while remaining manageable to create and interpret.

Three generations reveal patterns that two generations cannot: health conditions that skip generations, relationship styles that repeat, career paths that run in families, and behavioral patterns passed down through modeling. For nursing students, therapists, and counselors, the 3 generation genogram is often the minimum required depth for clinical work.

The three generations explained

Understanding each level of your genogram. Each generation sits on its own horizontal row, oldest at the top.
Generation 1Generation 2Generation 3Paternal grandparentsMaternal grandparentsUncleFatherMotherIndex person
Schematic of the three rows. The X marks a deceased grandfather; the double outline marks the index person.
RowWho goes hereWhat to record
Generation 1 (top row)GrandparentsMaternal and paternal grandparents. Include health history, occupations, causes of death, and relationship patterns.
Generation 2 (middle row)Parents, aunts and unclesMother and father, plus aunts and uncles and their partners. Shows how patterns from grandparents influenced parents.
Generation 3 (bottom row)Index person and siblingsYou (or the focus person), siblings, and cousins. The generation being assessed.

If the index person has children

When the person at the centre is a parent, many instructors count the three generations from the index person's parents down to their children instead. Either way, show three consecutive generations, mark the index person clearly, and add a fourth row if the assignment asks for grandchildren or great-grandparents.

3 generation genogram example with explanation

The figure at the top of this page is a complete, minimal three-generation genogram. Here is how to read it, row by row.
GenerationPeople shownWhat the symbols tell you
Generation 1Robert Miller (1940-2015) and Dorothy Miller (b. 1942); Henry Clark (b. 1938) and Margaret Clark (b. 1941)Two couples joined by marriage lines. The X through Robert's square means he has died; the number inside it (75) is his age at death. The other numbers are current ages.
Generation 2Susan Clark, née Miller (b. 1968), her brother William Miller (b. 1970), and Thomas Clark (b. 1966)Vertical lines from each grandparent couple drop to their children. Susan and Thomas are joined by a marriage line, which makes them the parent couple for the bottom row.
Generation 3Emily Clark (b. 1995), James Clark (b. 1998), Daniel Clark (b. 2002)Siblings run oldest to youngest from left to right. Emily is the index person, drawn with a highlighted outline.
KeyMale, female, primary person, deceased, marriage, biological childEvery symbol used on the chart is listed in the legend underneath, which most rubrics require.

Read it like this: Emily (31) is the oldest of three children of Susan and Thomas Clark. Her maternal grandfather Robert died in 2015 at 75; her other three grandparents are living, in their 80s. Her mother has one brother, William. That one sentence is the "explanation" most assignments ask for. A clinical genogram adds the next layers on the same structure: health conditions, emotional relationship lines and dates of key events.

More 3 generation genogram examples

The same three-row structure with more information layered on.
Genogram example: Three-Generation Household
A three-generation household (the Chen family): emotional lines and medical colours added to the same three rows. Open this example
LayerWhat this example shows
StructureGrandparents Wei (b. 1942) and Mei-Ling Chen (b. 1945); their children David, Lisa and David's wife Jennifer, plus Lisa's husband Brian Wong; four grandchildren including the index person, Emily Chen (b. 1998).
Emotional linesClose (double blue line) between Emily and her grandmother and her aunt Lisa; fused (triple line) between Mei-Ling and Sophie; conflict (red dashed double line) between Wei and Emily; a distant line between Wei and Lisa.
Medical coloursHypertension and type 2 diabetes in Wei, asthma in Mei-Ling, anxiety in David, depression in Jennifer, and both anxiety and depression in Emily, so the anxiety pattern is visible across two generations.
A fictional family. Colours are listed in the chart's own key.
Genogram example: Medical Genogram Tutorial
A medical 3 generation genogram (the Dixon family): the format most nursing programmes ask for. Open this example

The medical example tracks 12 people across three generations with conditions coloured inside each symbol: cardiovascular disease in three relatives, cancer in two and diabetes in two, so the cardiovascular pattern down the family line stands out at a glance. For a four-generation version with a chronology, see the family-of-origin assignment example, or browse every example in the genogram examples gallery.

How to create a 3 generation genogram

Follow these steps for a complete three-generation map.
  1. 1

    Start with the index person

    Add yourself or the main person in the bottom row (Generation 3), with brothers and sisters beside them, oldest on the left. Mark the index person with a double outline. This becomes the central reference point for your 3 generation genogram.
  2. 2

    Add parents (Generation 2)

    Add the index person's mother and father in the row above. Connect them with a marriage line and drop a vertical line from it to each child.
  3. 3

    Add grandparents (Generation 1)

    Add both sets of grandparents in the top row. Connect each set with marriage lines to their children (the parents).
  4. 4

    Add aunts, uncles and partners

    Add the parents' brothers and sisters in the middle row next to them, and any divorces, remarriages or partners with their own line styles.
  5. 5

    Add dates, ages and deaths

    Write birth years above each symbol and the current age inside it. Put an X through anyone who has died and note the year and cause of death.
  6. 6

    Add relationship details

    Draw emotional relationship lines (close, distant, conflicted) and add health conditions, occupations, and other relevant information.
  7. 7

    Create your legend

    Add a key explaining the symbols and colors used in your genogram for easy interpretation.

Faster: describe the family instead

"My grandparents Robert (died 2015 at 75) and Dorothy Miller had two children, my mom Susan and my uncle William. My dad Thomas's parents are Henry and Margaret Clark. My parents have three kids: me (Emily, 31), James and Daniel."
GenogramAI turns a description like this into the three rows above, with symbols, ages and a legend. The free plan includes 2 genograms and 5 AI credits a month.

Free 3 generation genogram template

A blank one-page template with paternal and maternal grandparents, parents, optional siblings, three children and a symbol key.
Blank three-generation genogram template with grandparents, parents, children and a symbol key
Blank 3 generation genogram template (US Letter). Free to print and share.
FormatBest forDownload
PDFPrinting and filling in by handblank-3-generation-genogram-template.pdf
PowerPoint (.pptx)Editing in PowerPoint or Google Slides, or pasting into Wordblank-3-generation-genogram-template.pptx
SVGEditing in a vector editorblank-3-generation-genogram-template.svg

Need it in Word? Follow how to make a genogram in Word, or paste the PowerPoint shapes into a Word document. More starting points are on the genogram templates page.

3 generation genogram checklist for nursing assignments

Requirements vary by programme, but most rubrics for a family health assessment ask for the items below. Check your own rubric before you submit.
RequirementWhat to showCommon mistake
Three generationsGrandparents, parents (with aunts and uncles), index person and siblingsLeaving out one side of the family
Standard symbolsSquares for males, circles for females, X for deceasedUsing a family-tree layout with photos or boxes
Index personDouble or highlighted outline, or an arrowNot marking who the genogram is about
Ages and datesBirth year above, age inside each symbol; year of deathAges that do not match the birth years
Cause of deathWritten next to each deceased relativeMarking a death without the cause
Health conditionsMajor conditions in each generation, coded consistentlyConditions listed in text but not on the chart
Relationship linesMarriage, divorce, separation; emotional lines if askedDivorce drawn as a broken line instead of two slashes
LegendEvery symbol and colour used on the chartMissing key, or a key that lists symbols not used

For the health side, see the medical genogram guide and the genogram guide for nursing students.

Who needs a 3 generation genogram?

Nursing students

Most nursing programs require a 3 generation genogram assignment to practice family health assessment. Document medical history, genetic conditions, and health patterns across grandparents, parents, and your generation. Medical history tracking, hereditary condition mapping and professional export for assignments.

Therapists and counselors

Three generations is the standard for clinical genograms. Identify relationship patterns, emotional cutoffs, enmeshment, and other family dynamics that repeat across generations, with relationship pattern analysis, 39 emotional relationship types and secure cloud storage.

Psychology students

Learn family systems theory through hands-on genogram creation. Understand how patterns of behavior, attachment styles, and psychological traits transmit across generations: family systems visualization, attachment pattern mapping and academic-ready output.

Families

Document your family heritage and health history for future generations. A 3 generation genogram captures grandparents' stories before they're lost and creates a lasting record: heritage documentation, health history for doctors and a shareable family record.

In other languages

Looking for genograma de 3 generaciones? Read cómo hacer un genograma. Looking for genogram 3 generasi? Read membuat genogram.

3 generation genogram FAQs

What is a 3 generation genogram?

A 3 generation genogram is a family diagram that shows three generations of a family: typically grandparents, parents, and the index person with their siblings (or parents, the individual, and their children). It's the standard minimum for most clinical and academic genogram assignments, providing enough depth to identify multigenerational patterns.

What is an example of a 3 generation genogram?

A simple example: the top row holds both sets of grandparents (one grandfather marked deceased with an X), the middle row holds the two parents and an uncle, and the bottom row holds the index person, drawn with a double or highlighted outline, and two brothers. Marriage lines join each couple and vertical lines drop to their children. Ages sit inside each symbol and birth years above it.

Why are 3 generations required for genograms?

Three generations is considered the minimum to identify meaningful family patterns. With only two generations, you can see direct relationships but miss recurring patterns. Three generations reveal patterns like inherited health conditions, relationship styles that repeat, occupational traditions, and behavioral patterns that span generations.

How do I create a 3 generation genogram?

Start with yourself or the index person in the bottom row, next to your siblings. Add your parents in the row above, then both sets of grandparents in the top row, and connect each couple to their children. Then add names, ages, deaths, health conditions, relationship lines and a legend. GenogramAI can generate a 3 generation genogram from a text description in seconds.

How many people are in a 3 generation genogram?

At minimum seven: four grandparents, two parents and the index person. Most real three-generation genograms have 10 to 20 people once siblings, aunts, uncles and partners are added. The two examples on this page have 10 people each.

What should be included in a 3 generation genogram for nursing school?

Nursing school 3 generation genograms typically require: names and ages, gender symbols (squares for males, circles for females), birth and death dates, major health conditions in each generation, relationship lines, and a legend explaining symbols used. Medical history across generations is especially important.

Is there a free 3 generation genogram template?

Yes. GenogramAI has a free blank three-generation genogram template as a printable PDF, an editable PowerPoint file (which also opens in Google Slides and can be pasted into Word) and an SVG. It has boxes for paternal and maternal grandparents, parents, siblings and the index person, plus a symbol key.

Can I extend a 3 generation genogram to more generations?

Yes! While 3 generations is the standard minimum, GenogramAI supports unlimited generations. You can easily add great-grandparents, great-grandchildren, or any additional family members to create 4, 5, or more generation genograms.