Ballot results for the candidate by precinct
| Candidate | Gołębiowski Adam Michał |
| Age | 40 |
| Address and endorsements | Tarnowa |
| Constituency no. | 2 |
| Number of votes for the candidate | 128 |
| % of valid votes for the candidate | 9.73% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Poddębice
| 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 | Gimnazjum w Poddębicach, ul. Polna 36 | 69 |
9.90% 
|
225 |
30.67%
|
| 4 | Miejska i Gminna Biblioteka Publiczna w Poddębicach, ul. Łódzka 31 | 58 |
9.51%
|
203 |
28.57%
|
| 15 | SP ZOZ-Szpital w Poddębicach, ul. Mickiewicza 16 | 1 |
11.11%
|
3 |
33.33%
|