Ballot results for the candidate by precinct
| Candidate | Jaciuk Mariola |
| Age | 41 |
| Address and endorsements | Kamienna Góra , endorsed by Stowarzyszenie Regionalne DIALOG |
| Constituency no. | 2 |
| Number of votes for the candidate | 64 |
| % of valid votes for the candidate | 3.17% |
| Number of votes for the list | 476 |
| % of votes for the candidate relating to votes for the list | 13.45% |
| Mandate | No |
m. Kamienna Góra
| 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 * |
|---|---|---|---|---|---|
| 4 | Przedszkole Nr 3 ul.Papieża Jana Pawła II 20, Kamienna Góra | 43 |
5.36% 
|
161 |
26.71%
|
| 5 | Świetlica Spółki Mieszkaniowej Sp z o.o., ul.Sienkiewicza 3, Kamienna Góra | 6 |
1.52%
|
91 |
6.59%
|
| 6 | Szkoła Podstawowa Nr 2 ul.Jeleniogórska 7, Kamienna Góra | 15 |
1.83%
|
224 |
6.70%
|
| 13 | Powiatowe Centrum Zdrowia Sp.z o.o. Niepubliczny Zakład Opieki Zdrowotnej Szpital Powiatowy, ul. Bohaterów Getta 10 | 0 | — | 0 | — |