Ballot results for the candidate by precinct
| Candidate | Macugowska Wiesława Helena |
| Age | 56 |
| Address and endorsements | Człuchów , endorsed by Miejskie Forum Samorządowe w Człuchowie |
| Constituency no. | 3 |
| Number of votes for the candidate | 115 |
| % of valid votes for the candidate | 16.41% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
m. Człuchów
| 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 * |
|---|---|---|---|---|---|
| 4 | Urząd Miejski w Człuchowie ul. Wojska Polskiego 1 | 115 |
16.41% 
|
221 |
52.04%
|