Ballot results for the candidate by precinct
| Candidate | Polesiak Teresa |
| Age | 47 |
| Address and endorsements | Gryfów Śląski |
| Constituency no. | 4 |
| Number of votes for the candidate | 48 |
| % of valid votes for the candidate | 6.41% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Gryfów Śląski
| 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 * |
|---|---|---|---|---|---|
| 4 | Sala Posiedzeń Urzędu Gminy i Miasta w Gryfowie Śląskim | 48 |
6.41% 
|
112 |
42.86%
|