Ballot results for the candidate by precinct
| Candidate | Ptak Adam |
| Age | 52 |
| Address and endorsements | Krzyż Wlkp. |
| Constituency no. | 3 |
| Number of votes for the candidate | 167 |
| % of valid votes for the candidate | 3.14% |
| Number of votes for the list | 960 |
| % of votes for the candidate relating to votes for the list | 17.40% |
| Mandate | No |
gm. Drawsko
| 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 posiedzeń Urzędu Gminy Drawsko, Drawsko 64-733 ul. Powstańców Wlkp.121 | 11 |
1.76% 
|
181 |
6.08%
|
| 2 | Szkoła Podstawowa, Drawski Młyn ul. Szosa Dworcowa | 0 | — | 31 |
0.00%
|
| 3 | Szkoła Podstawowa, Piłka 24 | 3 |
1.28%
|
42 |
7.14%
|
| 4 | Szkoła Podstawowa, Pęckowo Powstańców Wlkp. 1 | 1 |
0.25%
|
42 |
2.38%
|
| 5 | Gimnazjum, Chełst 64 | 6 |
1.57%
|
86 |
6.98%
|
gm. Krzyż Wielkopolski
| 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 | Szkoła Podstawowa w Krzyżu Wlkp., ul. Wojska Polskiego 31 | 54 |
5.11%
|
158 |
34.18%
|
| 2 | Miejsko Gminny Ośrodek Kultury, Krzyż Wlkp. Wojska Polskiego 11 | 42 |
5.47%
|
105 |
40.00%
|
| 3 | Gimnazjum Publiczne, Krzyż Wlkp. ul. Sienkiewicza 1 | 37 |
4.15%
|
170 |
21.76%
|
| 4 | Szkoła Podstawowa w Kuźnicy Żelichowskiej, | 5 |
2.09%
|
31 |
16.13%
|
| 5 | Sala Wiejska, Huta Szklana | 8 |
2.31%
|
114 |
7.02%
|