Ballot results for the candidate by precinct
| Candidate | Balsam Jadwiga Teresa |
| Age | 32 |
| Address and endorsements | Bielawa |
| Constituency no. | 3 |
| Number of votes for the candidate | 37 |
| % of valid votes for the candidate | 1.51% |
| Number of votes for the list | 307 |
| % of votes for the candidate relating to votes for the list | 12.05% |
| 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 * |
|---|---|---|---|---|---|
| 8 | Szkoła Podstawowa nr 10, ul. Gen. Grota Roweckiego 6, Bielawa | 4 |
0.99% 
|
49 |
8.16%
|
| 9 | Szkoła Podstawowa Nr 10, ul. Gen. Grota Roweckiego 6, Bielawa | 11 |
1.94%
|
66 |
16.67%
|
| 10 | Liceum Ogólnokształcące, ul. Szkolna 5, Bielawa | 12 |
1.49%
|
109 |
11.01%
|
| 11 | Miejski Zarząd Budynków Mieszkalnych sp. Z o.o. , ul. 3 Maja 48, Bielawa | 10 |
1.49%
|
83 |
12.05%
|
| 16 | Szpital Bielawa ul. Piastowska 7 | 0 | — | 0 | — |