Ballot results for the candidate by precinct
| Candidate | Staszyńska Kazimiera |
| Age | 63 |
| Address and endorsements | Radziejów , endorsed by Samoobronę Rzeczpospolitej Polskiej |
| Constituency no. | 1 |
| Number of votes for the candidate | 116 |
| % of valid votes for the candidate | 21.09% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
m. Radziejów
| 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 | Publiczna Szkoła Podstawowa nr 1 w Radziejowie ul.Szkolna 28 | 116 |
21.09% 
|
149 |
77.85%
|