Ballot results for the candidate by precinct
| Candidate | Szczepańska Hanna Maria |
| Age | 41 |
| Address and endorsements | Potycz |
| Constituency no. | 1 |
| Number of votes for the candidate | 113 |
| % of valid votes for the candidate | 4.65% |
| Number of votes for the list | 218 |
| % of votes for the candidate relating to votes for the list | 51.83% |
| Mandate | No |
gm. Góra Kalwaria
| 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 | Szkoła Podstawowa w Czersku ul. Warszawska 16 | 1 |
0.25% 
|
22 |
4.55%
|
| 2 | Zespół Szkół w Coniewie | 108 |
15.17%
|
122 |
88.52%
|
| 3 | Szkoła Podstawowa w Czaplinku | 1 |
0.31%
|
11 |
9.09%
|
| 4 | Szkoła Podstawowa w Czachówku ul. Główna 56 | 0 | — | 11 |
0.00%
|
| 5 | Gimnazjum w Cendrowicach ul. Szkolna 4 | 3 |
0.47%
|
52 |
5.77%
|