Ballot results for the candidate by precinct
| Candidate | Surmacewicz Hanna |
| Age | 41 |
| Address and endorsements | Rutki |
| Constituency no. | 3 |
| Number of votes for the candidate | 111 |
| % of valid votes for the candidate | 3.36% |
| Number of votes for the list | 639 |
| % of votes for the candidate relating to votes for the list | 17.37% |
| Mandate | No |
gm. Kołaki Kościelne
| 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 | Urząd Gminy w Kołakach Kościelnych, ul. Kościelna 11 | 2 |
0.42% 
|
32 |
6.25%
|
| 2 | Szkoła Podstawowa w Kołakach Kościelnych ul. Kościelna 26 | 0 | — | 38 |
0.00%
|
| 3 | Szkoła Podstawowa w Zaniach Leśnicy 11 | 0 | — | 5 |
0.00%
|
gm. Rutki
| 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 | Urząd Gminy Rutki - sala konferencyjna | 57 |
8.56%
|
172 |
33.14%
|
| 2 | Świetlica Wiejska w Zambrzycach Królach | 23 |
4.27%
|
110 |
20.91%
|
| 3 | Szkoła Podstawowa w Grądach Woniecko | 16 |
5.57%
|
195 |
8.21%
|
| 4 | Szkoła Podstawowa w Kołomyi | 3 |
1.02%
|
18 |
16.67%
|
| 5 | Urząd Stanu Cywilnego w Rutkach | 10 |
1.99%
|
69 |
14.49%
|