Ballot results for the candidate by precinct
| Candidate | Perużyńska Bożena Czesława |
| Age | 52 |
| Address and endorsements | Wieruszów |
| Constituency no. | 5 |
| Number of votes for the candidate | 44 |
| % of valid votes for the candidate | 8.01% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Wieruszów
| 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 | Gimnazjum Nr 1 w Wieruszowie, ul. Warszawska 123 a | 44 |
8.03% 
|
44 |
100.00%
|
| 12 | Szpital Samodzielnego Publicznego Zakładu Opieki Zdrowotnej w Wieruszowie, ul. Warszawska 104 | 0 | — | 0 | — |