Ballot results for the candidate by precinct
| Candidate | Surman Barbara |
| Age | 59 |
| Address and endorsements | Piątkowa |
| Constituency no. | 3 |
| Number of votes for the candidate | 123 |
| % of valid votes for the candidate | 3.43% |
| Number of votes for the list | 315 |
| % of votes for the candidate relating to votes for the list | 39.05% |
| Mandate | Yes |
gm. Chełmiec
| 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 * |
|---|---|---|---|---|---|
| 7 | Zespół Szkół, Wielogłowy | 0 | — | 23 |
0.00% 
|
| 8 | Zespół Szkół, Librantowa | 1 |
0.20%
|
1 |
100.00%
|
| 9 | Zespół Szkół, Paszyn | 1 |
0.13%
|
52 |
1.92%
|
| 10 | Zespół Szkół, Piątkowa | 117 |
23.54%
|
118 |
99.15%
|
| 13 | Świetlica Wiejska, Wielopole | 0 | — | 5 |
0.00%
|
| 14 | Szkoła Podstawowa, Januszowa | 1 |
0.51%
|
2 |
50.00%
|
| 16 | Świetlica Wiejska, Kunów | 0 | — | 93 |
0.00%
|
| 18 | Zespół Szkół, Wielogłowy | 1 |
0.19%
|
19 |
5.26%
|
| 19 | Szkoła Podstawowa, Boguszowa | 2 |
3.39%
|
2 |
100.00%
|