PART 1. 3: BRIEF GENOGRAM INTERVIEW GUIDE* Index Person, Children and Spouses Name? Date of Birth? Occupatio n? Are they married? Jf so, give name of spouses, and U1e 11ame and sex of c/rilclr-en with each spouse. Include all miscarriages, stillbirths, adopted andfoste.,· c11ildn!. 11. Include dates of man·iages, separations, divorces, birth aud deutli dales, cause of death, occupatio11. s, education of the above family members. Who lives iu the houseliold 11ow? Family of Origin ft,,fother's mime? Fatlter's name? They were which of how many children? Give name and sex of each sibling. Include all miscarriages, stillbirths, adopted and foster siblings. lnclude dates of the parents' marriages, separations, divorces, birth and de. crth dates, cause of death, occupations, education of the above family members. Who lived in the household when they were growing up? Mother's Family Identify the names of the mother's parents: The mother was which of how many children? Givenameandsexofeachofhersiblings. Includea llmiscarriages,stillbirths, adopted and foster siblings. Include dates of gra. ndparents' marriages, separations, divorces, birth and death dotes, cause of death, occupations and education of the above family members. Father's Family Identify the names oft hef at her's parents: The mother was_ which of how many children? Give name and sex of each of lier siblings. Include all miscarriages, stillbirths, adopted and foster siblings. Include dates of grandparents' marriages, separations, divorces, birth and death dates, cause of death, occupations and education of the above family members. Ethnicity Identify ethnic/religious background of family members and the languages/dialect s they spoke if not English/Fi lipino. Major Moves Specify major family moves and migratio. ns. Significant Others Add others who lived with or were important to the family. .. Reference: Mc Goldrick, M. and Gerson, R. (1985). Genograms in Family Assessment. New York :W. W. Norton &Company, pp. 157-158. 452 