In the Print Paper Organizer - select clients - click box for Organizer Settings... Set the choices and review the "Additional Organizer Pages" - Once you click OK those settings are saved for next time you print.
Next time do not click the box and just use Print then check the appropriate boxes (which should be saved for next time you do the process. The top dropdowns should be what you set up in the step above.
Once you click OK, you will be presented with printer options.
I generally print to pdf (or DMS) for my first few runs to save paper and get something to review.
Personally I use a very condensed questionnaire and do it all 2 sided. They then fit into a standard window envelope when folded. Most mail for a standard FOREVER stamp (up to 5 pages).

I am waiting for at least one more update on the program before printing. There are generally several bugs to be fixed.
I won't proforma until at least mid January.