Ballot results for the candidate by precinct
| Candidate | Domka Jarosław Janusz |
| Age | 39 |
| Address and endorsements | Polnica |
| Constituency no. | 3 |
| Number of votes for the candidate | 233 |
| % of valid votes for the candidate | 7.01% |
| Number of votes for the list | 456 |
| % of votes for the candidate relating to votes for the list | 51.10% |
| Mandate | No |
gm. Człuchów
| 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 * |
|---|---|---|---|---|---|
| 1 | Szkoła Podstawowa w Polnicy | 163 |
26.99% 
|
254 |
64.17%
|
| 2 | Szkoła Podstawowa w Rychnowach | 20 |
4.42%
|
33 |
60.61%
|
| 3 | Szkoła Podstawowa w Wierzchowie Dworcu | 16 |
1.92%
|
37 |
43.24%
|
| 4 | Sala wiejska w Mosinach | 11 |
2.96%
|
65 |
16.92%
|
| 5 | Sala wiejska w Kołdowie | 6 |
1.74%
|
10 |
60.00%
|
| 6 | Szkoła Podstawowa w Stołcznie | 10 |
2.42%
|
16 |
62.50%
|
| 7 | Szkoła w Barkowie | 7 |
2.31%
|
41 |
17.07%
|