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The phrase "are extremely grateful" is correct and usable in written English.
You can use it to express a strong sense of appreciation or thankfulness towards someone or something.
Example: "We are extremely grateful for your support during this challenging time."
Alternatives: "are very thankful" or "appreciate it greatly."
Dictionary
are extremely grateful
adverb
To an extreme degree
synonyms
Exact(59)
We are extremely grateful to Dagenham & Redbridge for their understanding".
We are extremely grateful for John and Sue Ann's exceptional support for the Library.
"We are extremely grateful to Dyfed-Powys police for their continued efforts to find April.
My family and I are extremely grateful and appreciate the value the State Department places on U.S. citizens.
"We know you have worked tirelessly to drive these improvements and are extremely grateful to you for your work.
"We are extremely grateful to the staff for their continued strong support and commitment during an understandably difficult period.
Again we are extremely grateful for this ongoing help.
The authors are extremely grateful to two reviewers who provided suggestions on improving this manuscript.
As founders, Peter and I are extremely grateful for the work they've done.
We are extremely grateful for Tim's stewardship and wish him well.
"We have been very encouraged by their response and are extremely grateful for their help.
More suggestions(15)
are extremely delighted
are hugely grateful
are extremely gratified
are extremely satisfied
are extremely fortunate
are extremely glad
are extremely welcome
are extremely appreciative
are exceedingly grateful
are extremely lucky
are extremely happy
are extremely nice
are extremely pleased
are enormously grateful
are tremendously grateful
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com