Ballot results for the candidate by precinct
| Candidate | Dominiak Dorota |
| Age | 43 |
| Address and endorsements | Ksawerów |
| Constituency no. | 3 |
| Number of votes for the candidate | 68 |
| % of valid votes for the candidate | 12.62% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Ksawerów
| 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 * |
|---|---|---|---|---|---|
| 2 | Gimnazjum w Ksawerowie ul. Zachodnia 33 | 68 |
12.62% 
|
306 |
22.22%
|