Ballot results for the candidate by precinct
| Candidate | Kuźniak Romana Wanda |
| Age | 60 |
| Address and endorsements | Sadowiec Wrzosy , endorsed by Sojusz Lewicy Demokratycznej |
| Constituency no. | 5 |
| Number of votes for the candidate | 69 |
| % of valid votes for the candidate | 16.47% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Działoszyn
| 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 Trębaczewie, ul. Szkolna 5 | 64 |
29.09% 
|
64 |
100.00%
|
| 6 | Szkoła Podstawowa w Raciszynie, ul. Działoszyńska 65 | 5 |
2.51%
|
5 |
100.00%
|