Ballot results for the candidate by precinct
| Candidate | Domańska Jadwiga |
| Age | 51 |
| Address and endorsements | Miejska Górka , endorsed by Związek Nauczycielstwa Polskiego |
| Constituency no. | 1 |
| Number of votes for the candidate | 299 |
| % of valid votes for the candidate | 22.20% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Miejska Górka
| 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 | Dom Kultury w Miejskiej Górce, ul. Jana Pawła II 6 | 151 |
22.78% 
|
471 |
32.06%
|
| 2 | Dom Kultury w Miejskiej Górce, ul. Jana Pawła II 6 | 148 |
21.64%
|
355 |
41.69%
|