Ballot results for the candidate by precinct
| Candidate | Trzebiatowska Urszula Agnieszka |
| Age | 53 |
| Address and endorsements | Człuchów , endorsed by Miejskie Forum Samorządowe w Człuchowie |
| Constituency no. | 1 |
| Number of votes for the candidate | 167 |
| % of valid votes for the candidate | 10.99% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
m. 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 | Ośrodek Doradztwa Rolniczego w Człuchowie Osiedle Młodych 9 | 119 |
12.36% 
|
648 |
18.36%
|
| 2 | Gimnazjum w Człuchowie ul. Szkolna 3 | 48 |
8.63%
|
379 |
12.66%
|