Ballot results for the candidate by precinct
| Candidate | Cepielik Anna Gracjana |
| Age | 30 |
| Address and endorsements | Kamienna Góra |
| Constituency no. | 4 |
| Number of votes for the candidate | 27 |
| % of valid votes for the candidate | 1.33% |
| Number of votes for the list | 119 |
| % of votes for the candidate relating to votes for the list | 22.69% |
| Mandate | No |
m. Kamienna Góra
| 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 * |
|---|---|---|---|---|---|
| 10 | Osiedle Krzeszowskie, ulica Wałbrzyska 26, Kamienna Góra | 17 |
1.56% 
|
57 |
29.82%
|
| 11 | Centrum Kultury ul.Kościuszki 4, Kamiena Góra | 10 |
1.15%
|
61 |
16.39%
|
| 12 | Dolnośląskie Centrum Rehabilitacji ul.Korczaka 1, Kamienna Góra | 0 | — | 1 |
0.00%
|