Ballot results for the candidate by precinct
| Candidate | Iracka Teodora Grażyna |
| Age | 41 |
| Address and endorsements | Dąbrowa , endorsed by Samoobronę Rzeczpospolitej Polskiej |
| Constituency no. | 5 |
| Number of votes for the candidate | 29 |
| % of valid votes for the candidate | 18.01% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Trzydnik Duży
| 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 | Filia Szkoły Podstawowej w Dąbrowie | 29 |
18.01% 
|
29 |
100.00%
|