AI Checklist Generator

From the makers of Manifestly Checklists

Email address

Home > Create a checklist to be used as a genogram for my clients.

Create a checklist to be used as a genogram for my clients.

Client Information

Full name

Date of birth

Gender

Contact information

Relationship to client (e.g. parent, sibling, child)

Family History

Parents' names and ages

Siblings' names and ages

Children's names and ages

Grandparents' names and ages

Any significant medical or mental health history

Relationship Dynamics

Description of relationship with client

Frequency of contact

Quality of relationship

Any conflicts or unresolved issues

Support System

List of individuals who provide emotional support

List of individuals who provide practical support

Any organizations or services that offer support

Additional Information

Any significant life events (e.g. marriage, divorce, move)

Any major achievements or milestones

Any current concerns or challenges

Next Steps

Discuss genogram with client

Identify patterns or themes in family history

Explore impact of family dynamics on client's well-being

Download CSV Download JSON Download Markdown

Use in Manifestly

Hey there! Here's a little about us or visit our recurring workflow SaaS: Manifestly Checklists

Light Dark