Ballot results for the candidate by precinct
| Candidate | Bielak Anna Teresa |
| Age | 50 |
| Address and endorsements | Bielawa , endorsed by Samoobronę Rzeczpospolitej Polskiej |
| Constituency no. | 4 |
| Number of votes for the candidate | 16 |
| % of valid votes for the candidate | 0.66% |
| Number of votes for the list | 180 |
| % of votes for the candidate relating to votes for the list | 8.89% |
| Mandate | No |
m. Bielawa
| No. | Address | Number of votes | % of valid votes* | Number of votes for the list | % of votes for the candidate relating to votes for the list * |
|---|---|---|---|---|---|
| 12 | Gimnazjum nr 3, ul. Lotnicza 5, Bielawa | 0 | — | 37 |
0.00% 
|
| 13 | Szkoła Podstawowa Nr 5, ul. Ludowa 11, Bielawa | 8 |
1.54%
|
55 |
14.55%
|
| 14 | Szkoła Podstawowa nr 5, ul. Polna 2, Bielawa | 5 |
0.84%
|
53 |
9.43%
|
| 15 | Szkoła Podstawowa nr 4, ul. L. Waryńskiego 50, Bielawa | 3 |
0.38%
|
35 |
8.57%
|