Ballot results for the candidate by precinct
| Candidate | Furtak Maria Teresa |
| Age | 50 |
| Address and endorsements | Leszczyniec , endorsed by Stowarzyszenie Regionalne DIALOG |
| Constituency no. | 1 |
| Number of votes for the candidate | 40 |
| % of valid votes for the candidate | 20.51% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Kamienna Góra
| 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 | b.Szkoła Podstawowa, Leszczyniec Nr 100 | 40 |
20.51% 
|
40 |
100.00%
|