Ballot results for the candidate by precinct
| Candidate | Cicha Bożena |
| Age | 46 |
| Address and endorsements | Jeziernik , endorsed by Samoobronę Rzeczpospolitej Polskiej |
| Constituency no. | 4 |
| Number of votes for the candidate | 9 |
| % of valid votes for the candidate | 5.52% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Ostaszewo
| 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 | Gminny Dom Kultury i Sportu w Ostaszewie | 9 |
5.52% 
|
44 |
20.45%
|