I use this as review over inequalities. Students love this game because it includes appropriate family feud questions from the actual show! I usually split my Algebra 1 students up into two teams where one person from each team comes up to the board to work out a problem. Whoever answers the problem correctly first gets to chose to either "pass or play." Then each teams gets to go through and answer family feud questions for points. I usually print off the questions and have all of my students work them out even if they are not up at the board.
How you choose to play is really up to you. You can break students up into small groups and have them work out the problems as a group. This is a fun game that really gets students engaged!