Ballot results for the candidate by precinct
| Candidate | Mordal Mariola |
| Age | 33 |
| Address and endorsements | Ożegów , endorsed by Samoobronę Rzeczpospolitej Polskiej |
| Constituency no. | 7 |
| Number of votes for the candidate | 29 |
| % of valid votes for the candidate | 10.51% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Siemkowice
| 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 * |
|---|---|---|---|---|---|
| 4 | Szkoła Podstawowa w Ożegowie, ul.Szkolna 19 | 29 |
10.51% 
|
52 |
55.77%
|