The change would be that the entire graph is shifted to the left 6 and down 9.
Step-by-step explanation:
When we change the number inside of the parenthesis, the shift moves left to right. The shift is in the opposite direction of the number shift. So since the number inside goes up by 6, the graph moves to the left 6.
The number outside of the parenthesis is an up and down shift. Since the number goes down by 9, the graph also goes down by 9.