Ballot results for the candidate by precinct
| Candidate | Surmiak Józef Wiktor |
| Age | 45 |
| Address and endorsements | Gołkowice |
| Constituency no. | 2 |
| Number of votes for the candidate | 122 |
| % of valid votes for the candidate | 10.49% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Godów
| 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 Gołkowice, ul. 1 Maja 101 a | 44 |
7.60% 
|
257 |
17.12%
|
| 3 | Gimnazjum Gołkowice, ul. 1 Maja 101 a | 78 |
13.36%
|
234 |
33.33%
|