Ballot results for the candidate by precinct
| Candidate | Jeleń Anna Teresa |
| Age | 32 |
| Address and endorsements | Kamienna Góra |
| Constituency no. | 4 |
| Number of votes for the candidate | 34 |
| % of valid votes for the candidate | 1.68% |
| Number of votes for the list | 71 |
| % of votes for the candidate relating to votes for the list | 47.89% |
| Mandate | No |
m. 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 * |
|---|---|---|---|---|---|
| 10 | Osiedle Krzeszowskie, ulica Wałbrzyska 26, Kamienna Góra | 9 |
0.82% 
|
27 |
33.33%
|
| 11 | Centrum Kultury ul.Kościuszki 4, Kamiena Góra | 23 |
2.64%
|
39 |
58.97%
|
| 12 | Dolnośląskie Centrum Rehabilitacji ul.Korczaka 1, Kamienna Góra | 2 |
3.28%
|
5 |
40.00%
|