Ballot results for the candidate by precinct
| Candidate | Domańska Teresa |
| Age | 34 |
| Address and endorsements | Nakwasin |
| Constituency no. | 9 |
| Number of votes for the candidate | 98 |
| % of valid votes for the candidate | 36.70% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | Yes |
gm. Mała Wieś
| 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 w Orszymowie | 34 |
46.58% 
|
36 |
94.44%
|
| 4 | Szkoła Podstawowa w Dzierżanowie | 64 |
32.99%
|
126 |
50.79%
|