Ballot results for the candidate by precinct
| Candidate | Podgórska Teresa Maria |
| Age | 60 |
| Address and endorsements | Kozłów |
| Constituency no. | 5 |
| Number of votes for the candidate | 93 |
| % of valid votes for the candidate | 18.79% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Kozłów
| 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 * |
|---|---|---|---|---|---|
| 5 | Szkoła Podstawowa w Kozłowie | 81 |
18.49% 
|
308 |
26.30%
|
| 7 | Szkoła Podstawowa w Bryzdzyniu | 12 |
21.05%
|
24 |
50.00%
|