Ballot results for the candidate by precinct
| Candidate | Fornalska-Czapla Aleksandra |
| Age | 49 |
| Address and endorsements | Śniaty , endorsed by KWW Obywatelskie Forum Samorządowe PG |
| Constituency no. | 3 |
| Number of votes for the candidate | 35 |
| % of valid votes for the candidate | 10.17% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Wielichowo
| 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 * |
|---|---|---|---|---|---|
| 3 | Szkoła Podstawowa w Wilkowie Polskim, ul. Kościańska 2 (pałac) | 35 |
10.17% 
|
110 |
31.82%
|