Ballot results for the candidate by precinct
| Candidate | Mielańczuk Teresa |
| Age | 30 |
| Address and endorsements | Kiełpiniec , endorsed by Samoobronę Rzeczpospolitej Polskiej |
| Constituency no. | 5 |
| Number of votes for the candidate | 12 |
| % of valid votes for the candidate | 0.30% |
| Number of votes for the list | 522 |
| % of votes for the candidate relating to votes for the list | 2.30% |
| Mandate | No |
gm. Sabnie
| 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 | Wiejski Dom Kultury w Kupientynie | 1 |
0.46% 
|
18 |
5.56%
|
| 2 | Szkoła Podstawowa w Sabniach | 1 |
0.17%
|
41 |
2.44%
|
| 3 | Szkoła Podstawowa w Zembrowie | 0 | — | 87 |
0.00%
|
| 4 | Świetlica w Tchórznicy | 0 | — | 21 |
0.00%
|
| 5 | Szkoła Podstawowa w Niecieczy | 0 | — | 1 |
0.00%
|
| 6 | Świetlica w Hilarowie | 0 | — | 20 |
0.00%
|
gm. Sterdyń
| 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 | Zespół Szkół w Sterdyni | 0 | — | 170 |
0.00%
|
| 2 | Szkoła Podstawowa w Kiełpińcu | 9 |
3.93%
|
41 |
21.95%
|
| 3 | Szkoła Podstawowa w Łazowie | 0 | — | 46 |
0.00%
|
| 4 | Remiza OSP w Paderewku | 0 | — | 5 |
0.00%
|
| 5 | Budynek poszkolny w Starym Ratyńcu | 0 | — | 53 |
0.00%
|
| 6 | Remiza OSP w Kamieńczyku | 1 |
0.87%
|
19 |
5.26%
|