Ballot results for the candidate by precinct
| Candidate | Włodarczyk Helena Teresa |
| Age | 53 |
| Address and endorsements | Jasień |
| Constituency no. | 3 |
| Number of votes for the candidate | 13 |
| % of valid votes for the candidate | 6.40% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Jasień
| 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 | Miejsko Gminny Ośrodek Kultury Jasień Plac Armii Krajowej 1 | 13 |
6.40% 
|
13 |
100.00%
|