Ballot results for the candidate by precinct
| Candidate | Dominiak Beata |
| Age | 30 |
| Address and endorsements | Kożuchów |
| Constituency no. | 2 |
| Number of votes for the candidate | 149 |
| % of valid votes for the candidate | 6.99% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Kożuchów
| 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 1 Kożuchów ul. Szprotawska | 66 |
8.47% 
|
288 |
22.92%
|
| 4 | Kożuchowski Ośrodek Kultury i Sportu "ZAMEK" Kożuchów ul. Klasztorna | 44 |
8.71%
|
229 |
19.21%
|
| 5 | Samorządowe Gimnazjum Kożuchów ul. A. Haller | 37 |
4.48%
|
307 |
12.05%
|
| 6 | Dom Pomocy Społecznej Kożuchów ul.Szprotawska | 2 |
9.09%
|
9 |
22.22%
|