Ballot results for the candidate by precinct
| Candidate | Przysiecka Wanda |
| Age | 32 |
| Address and endorsements | Piotrków Kujawski , endorsed by Samoobronę Rzeczpospolitej Polskiej |
| Constituency no. | 2 |
| Number of votes for the candidate | 58 |
| % of valid votes for the candidate | 5.54% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Piotrków Kujawski
| 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 * |
|---|---|---|---|---|---|
| 2 | Świetlica Miejsko - Gminnego Ośrodka Pomocy Społecznej w Piotrkowie Kujawskim, ul. 30-lecia PRL | 46 |
4.53% 
|
119 |
38.66%
|
| 11 | Świetlica DPS w Piotrkowie Kujawskim | 12 |
38.71%
|
13 |
92.31%
|