Ballot results for the candidate by precinct
| Candidate | Siepietowska Marlena |
| Age | 24 |
| Address and endorsements | Jugowiec |
| Constituency no. | 3 |
| Number of votes for the candidate | 121 |
| % of valid votes for the candidate | 28.74% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Środa Śląska
| 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 Stanu Cywilnego w Środzie Śląskiej Plac Wolności 3 | 121 |
28.74% 
|
121 |
100.00%
|