Ballot results for the candidate by precinct
| Candidate | Sagasz Helena |
| Age | 56 |
| Address and endorsements | Jasień |
| Number of votes | 1495 |
| Result | 56.29% |
| Elected | Yes |
| Precinct number | Address | Number of votes | % of valid votes* |
|---|---|---|---|
| Precinct no. 1 | Miejsko Gminny Ośrodek Kultury Jasień Plac Armii Krajowej 1 | 537 |
51.88% 
|
| Precinct no. 2 | Przedszkole Samorządowe Jasień ul. Ogrodowa | 367 |
43.23%
|
| Precinct no. 3 | Szkoła Podstawowa Wicina | 336 |
76.36%
|
| Precinct no. 4 | Szkoła Podstawowa Golin | 255 |
76.81%
|