Ballot results for the candidate by precinct
| Candidate | Dmoch Teresa Elżbieta |
| Age | 46 |
| Address and endorsements | Witków |
| Constituency no. | 5 |
| Number of votes for the candidate | 69 |
| % of valid votes for the candidate | 17.47% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Czarny Bór
| 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 * |
|---|---|---|---|---|---|
| 2 | Ośrodek Kultury Witków 13 | 69 |
17.47% 
|
371 |
18.60%
|