Ballot results for the candidate by precinct
| Candidate | Żak Jadwiga |
| Age | 47 |
| Address and endorsements | Polichno |
| Constituency no. | 5 |
| Number of votes for the candidate | 63 |
| % of valid votes for the candidate | 44.37% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Michałów
| 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 Górach | 63 |
44.37% 
|
63 |
100.00%
|