Ballot results for the candidate by precinct
| Candidate | Fortuniak Dorota |
| Age | 40 |
| Address and endorsements | Sokola Dąbrowa |
| Constituency no. | 1 |
| Number of votes for the candidate | 267 |
| % of valid votes for the candidate | 6.59% |
| Number of votes for the list | 614 |
| % of votes for the candidate relating to votes for the list | 43.49% |
| Mandate | No |
gm. Bledzew
| 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 * |
|---|---|---|---|---|---|
| 1 | Sala Wiejska w Bledzewie, ul. Rynek 3 | 50 |
5.62% 
|
67 |
74.63%
|
| 2 | Wiejski Dom Kultury w Goruńsku | 208 |
21.89%
|
253 |
82.21%
|
gm. Przytoczna
| 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 * |
|---|---|---|---|---|---|
| 1 | Wiejski Dom Kultury w Chełmsku | 0 | — | 19 |
0.00%
|
| 2 | Świetlica Wiejska w Goraju | 1 |
0.25%
|
23 |
4.35%
|
| 3 | Urząd Gminy Przytoczna | 4 |
0.36%
|
124 |
3.23%
|
| 4 | Dom Strażaka w Rokitnie | 2 |
0.98%
|
14 |
14.29%
|
| 5 | Szkoła Podstawowa w Wierzbnie | 1 |
0.63%
|
17 |
5.88%
|
| 6 | Świetlica Wiejska w Nowej Niedrzwicy | 1 |
0.57%
|
96 |
1.04%
|
| 7 | Dom Pomocy Społecznej, Rokitno 58 | 0 | — | 1 |
0.00%
|
| 8 | Dom Pomocy Społecznej, Rokitno 38 | 0 | — | 0 | — |