Ballot results for the candidate by precinct
| Candidate | Surma Czesław |
| Age | 50 |
| Address and endorsements | Ścinawa |
| Constituency no. | 3 |
| Number of votes for the candidate | 14 |
| % of valid votes for the candidate | 1.72% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Ścinawa
| 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 | Ścinawski Ośrodek Kultury w Ścinawie, ul. Jana Pawła II 17 | 14 |
1.72% 
|
14 |
100.00%
|