Ballot results for the candidate by precinct
| Candidate | Sagasz Helena |
| Age | 56 |
| Address and endorsements | Jasień |
| Number of votes | 1104 |
| Result | 39.34% |
| Elected | Takes part in 2nd ballot |
| Precinct number | Address | Number of votes | % of valid votes* |
|---|---|---|---|
| Precinct no. 1 | Miejsko Gminny Ośrodek Kultury Jasień Plac Armii Krajowej 1 | 454 |
40.72% 
|
| Precinct no. 2 | Przedszkole Samorządowe Jasień ul. Ogrodowa | 266 |
29.10%
|
| Precinct no. 3 | Szkoła Podstawowa Wicina | 219 |
52.27%
|
| Precinct no. 4 | Szkoła Podstawowa Golin | 165 |
46.09%
|