#1: f(x+h) = -(x+h)2 + 6(x+h). Simplify. Careful with the negative sign. It's applied after the square.
#2: Subtract -x2 + 6x from the result of #1. Watch the signs.
#3: Divide the result of #2 by h. Note that the numerator is everything to the left of the division sign. Simplify.
#4: What happens to the equation from #3 when h becomes vanishingly small, effectively 0? Note that the answer is deceptively simple.