I haven't paper tuned a bow in years, except for youth bows.

I eyeball everything (gotta get me a lazer), then walkback and group tune. When fall gets close I BH tune and normally very LITTLE is needed here.

Paper tuning has variables, such as the shooter, my wife had a bow that she had a heck of a time gettinga decent tear, another shooter, same bow, bullet hole everytime. I re-tied the peep sight and suddenly it paper tuned for her and BH shot great.

Many things can cause issues, its like a puzzle without having a picture to work from!