Inclusion Criteria:  The ability to understand, provide informed consent in, and speak English; Patient reported fatigue or loss of physical functioning of moderate to severe severity (Edmonton Symptom Assessment System - Revised score ≥ 4/10); Primary residence in Alberta Health Services North Zone; Internet access in the patient's home residence.  Exclusion Criteria:  Any absolute contraindications to exercise (including acute myocardial infarction within 2 days, symptomatic/severe aortic stenosis, decompensated heart failure, symptomatic/hemodynamically significant cardiac arrhythmias, unstable angina not previously stabilized by medical therapy, acute aortic dissection, acute myocarditis/pericarditis, acute pulmonary embolus/infarction); Palliative Performance Scale level of 30% or less; Any person who, in the opinion of the treating physician, is within the last days to hours of life.