Ballot results for the candidate by precinct
| Candidate | Forell Dorota Iwona |
| Age | 37 |
| Address and endorsements | Kamień Pomorski |
| Constituency no. | 2 |
| Number of votes for the candidate | 111 |
| % of valid votes for the candidate | 6.74% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Kamień Pomorski
| 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 2, Kamień Pomorski ul. Wolińska 9 | 63 |
6.52% 
|
277 |
22.74%
|
| 4 | Liceum Ogólnokształcące, Kamień Pomorski ul. Konopnickiej 19 | 48 |
7.05%
|
173 |
27.75%
|