Ballot results for the candidate by precinct
| Candidate | Mikołajczak Teresa Janina |
| Age | 47 |
| Address and endorsements | Siemyśl |
| Constituency no. | 5 |
| Number of votes for the candidate | 101 |
| % of valid votes for the candidate | 2.50% |
| Number of votes for the list | 745 |
| % of votes for the candidate relating to votes for the list | 13.56% |
| Mandate | No |
gm. Gościno
| 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 * |
|---|---|---|---|---|---|
| 1 | Urząd Gminy w Gościnie, Gościno ul. IV Dywizji Wojska Polskiego 58 | 1 |
0.27% 
|
48 |
2.08%
|
| 2 | Szkoła Podstawowa w Gościnie, Gościno ul. Kościuszki 5 | 1 |
0.17%
|
129 |
0.78%
|
| 3 | Szkoła Podstawowa w Robuniu | 3 |
1.03%
|
49 |
6.12%
|
| 4 | Świetlica Wiejska w Wartkowie | 0 | — | 43 |
0.00%
|
| 5 | Dom Pomocy Społecznej w Gościnie, ul. Karlińska 1 | 0 | — | 11 |
0.00%
|
gm. Rymań
| 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 * |
|---|---|---|---|---|---|
| 1 | Sala Konferencyjna Urzędu Gminy w Rymaniu | 0 | — | 195 |
0.00%
|
| 2 | Szkoła Podstawowa w Gorawinie | 5 |
1.31%
|
80 |
6.25%
|
| 3 | Sala Wiejska w Kinowie | 1 |
0.42%
|
21 |
4.76%
|
gm. Siemyśl
| 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 * |
|---|---|---|---|---|---|
| 1 | Publiczna Szkoła Podstawowa im. Armii Krajowej w Charzynie , Charzyno ul. Wojska Polskiego 11 | 9 |
2.28%
|
44 |
20.45%
|
| 2 | Zespół Szkół, Siemyśl ul. Szkolna 10 | 81 |
12.40%
|
125 |
64.80%
|