Ballot results for the candidate by precinct
| Candidate | Domagała Adam |
| Age | 39 |
| Address and endorsements | Bielawa |
| Constituency no. | 1 |
| Number of votes for the candidate | 112 |
| % of valid votes for the candidate | 4.09% |
| Number of votes for the list | 169 |
| % of votes for the candidate relating to votes for the list | 66.27% |
| Mandate | No |
m. Bielawa
| 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 Konferencyjna, ul. Wolności 24, Bielawa | 20 |
3.20% 
|
36 |
55.56%
|
| 2 | Gimnazjum Nr 1, ul. Brzeżna 48, Bielawa | 18 |
3.69%
|
24 |
75.00%
|
| 3 | Zespół Szkół, ul. St. Żeromskiego 41, Bielawa | 39 |
4.89%
|
50 |
78.00%
|
| 4 | Klub Spółdzielni Mieszkaniowej, Osiedle Włókniarzy 1, Bielawa | 35 |
4.30%
|
59 |
59.32%
|
| 17 | Dom Pomocy Społecznej Bielawa ul. Żeromskiego 2 | 0 | — | 0 | — |