Ballot results for the candidate by precinct
| Candidate | Lasota Krystyna Helena |
| Age | 54 |
| Address and endorsements | Kożuchów |
| Constituency no. | 2 |
| Number of votes for the candidate | 140 |
| % of valid votes for the candidate | 6.57% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Kożuchów
| 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 * |
|---|---|---|---|---|---|
| 3 | Szkoła Podstawowa Nr 1 Kożuchów ul. Szprotawska | 49 |
6.29% 
|
305 |
16.07%
|
| 4 | Kożuchowski Ośrodek Kultury i Sportu "ZAMEK" Kożuchów ul. Klasztorna | 41 |
8.12%
|
174 |
23.56%
|
| 5 | Samorządowe Gimnazjum Kożuchów ul. A. Haller | 44 |
5.33%
|
194 |
22.68%
|
| 6 | Dom Pomocy Społecznej Kożuchów ul.Szprotawska | 6 |
27.27%
|
16 |
37.50%
|