Ballot results for the candidate by precinct
| Candidate | Kłosińska Teresa |
| Age | 48 |
| Address and endorsements | Opatowice , endorsed by Samoobronę Rzeczpospolitej Polskiej |
| Constituency no. | 8 |
| Number of votes for the candidate | 30 |
| % of valid votes for the candidate | 13.76% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Radziejów
| 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 * |
|---|---|---|---|---|---|
| 5 | Remiza OSP w Starym Radziejowie. | 30 |
13.76% 
|
54 |
55.56%
|