Ballot results for the candidate by precinct
| Candidate | Gacek Teresa Maria |
| Age | 49 |
| Address and endorsements | Kozłów |
| Constituency no. | 5 |
| Number of votes for the candidate | 108 |
| % of valid votes for the candidate | 21.82% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Kozłów
| 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 | Szkoła Podstawowa w Kozłowie | 88 |
20.09% 
|
306 |
28.76%
|
| 7 | Szkoła Podstawowa w Bryzdzyniu | 20 |
35.09%
|
35 |
57.14%
|